Repair Request

Request for Repair

Important Notice:

If you have a request for an Electro Plate like for example M169.ELE41 please fill in this form instead

If you need to have your converter or valve body repaired please fill in the form below
Download Form

Reference

Account Code *

Your Company Name *

Your Name *

Your email address *

Article Code *

Article Type *

Complaint *

Car Details *

VIN code *

Do you want us to pick up your item?

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Dimensions of package

Special Return Remarks

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Would you please fill in all the fields?

Request for Repair

Important Notice:

Repair Request Form