ABOUT SKIPCHIPS
PPF
PURPOSE
PROCESS
LOCATIONS
COVERAGE OPTIONS
PERFORMANCE GLASS
ABOUT SKIPCHIPS
PPF
PURPOSE
PROCESS
LOCATIONS
COVERAGE OPTIONS
PERFORMANCE GLASS
SkipChips Scheduling Form
Dealer Contact
*
Dealer Contact Email
*
Dealership Name
*
Vehicle Details
Vehicle VIN
*
Year/Make/Model
*
Location Details
Fulfillment Location
*
Onsite Application is only available to select partners.
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Work to be Performed at Selling Dealer
Work to be Performed at SkipChips Facility
SkipChips BDC - Vendor to Contact Customer (please provide customer details below)
Date Vehicle is Available to Commence Work
*
The vehicle Must be available by 9 am on this date. for alternate start times please add notes on availability.
MM
DD
YYYY
Requested Date for Completion
Completion by end of day for selected date.
MM
DD
YYYY
SKIPCHIPS BDC - CUSTOMER DETAILS
Please Provide Customer Name, Email, Phone, and any additional pertinent details.
Paint Protection Details
Please Select Package
Paint Protection Package
No PPF Package (other services only)
Base Package
Sport Package
Touring Package
Performance Package
Competition Package
Full Car Tier 1 (Convertible)
Full Car Tier 2 (Core Coverage)
Full Car Tier 3 (Extended Coverage)
Full Car Tier 4 (Exotic Vehicles)
Custom Coverage - (Please describe in notes)
Special Instructions / Additional Coverage Requests
Tint Coverage Details
Tint Coverage
No Tint
Coupe
Sedan
Wagon
Crossover SUV
Full Size SUV
Pickup Truck
2 Fronts Only
Other: Please Specify
VLT
Visible Light Transmission (Darkness)
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70% VLT (Clear)
50% VLT (Standard)
35% VLT (Daker)
20% VLT (Darkest)
Special Instructions / Additional Coverage
Sealants & Coatings
Please Select all that Apply
Please Specify Service
Diamon Fusion - Hydrophobic Glass Treatment
NanoCure Graphene Coating (Interior + Exterior)
XPEL FUSION PLUS Ceramic Coating Application
Auto Armor Undercoating (Rust and Sound)
Appearance Enhancement Products
Please Specify Color Requests and Scope Of Work
Appearance Enhancement Options
Chrome Delete
Powder Coated Wheels
Special Instructions / Service Requests
Thank you!
