Repair Order Form

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Repair Order Form

02/06/2023

Repair Order Form

If you decide to send your item for repair without buying online or if you don't have an option to buy then please fill in this repair form, print it and send along with your item.

If you do not have access to a printer , then simply write the required information on a piece of paper and send along with your unit.

Note ! If you are outside of the EU and would like to send your item for repair , then please contact us first to avoid delays.

Customer Repair Order Form

REVTRONIC Ltd.
46 Listerhills Road.
Bradford.
BD7 1HT.
West Yorkshire, UK.

Todays Date(Required)

pick date

Your EBAY ID (If purchased from Ebay) :

Your Name:(Required)

First Last

Your Address:(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Your Landline Number:

Your Mobile Number:

Email(Required)

Make:(Required)

Model:(Required)

Year:(Required)

Fault / Work description: (i.e : Pixel Repair, Airbag, Tuning, Dash Repair.)(Required)

17 Digit Vin Number/Chassis Number (Only needed for BMW and Porsche)

Only needed for BMW and Porsche.

Chosen method of payment:(Required)

Paypal made payable to “ebay@revtronic.com”

Credit Card

When completing this form you can be assured we will only use the data provided to answer your enquiry. The data is held within our email system in the UK. We never sell your data.