Repair Form

This is an electronic form, please do not hand fill out this form, or print this online form
Please ensure that you click the SUBMIT button at the bottom of the page
Once submitted you will receive a document by email to print out and send with your repair.

I'm looking to: *

• Get a quote
• Send my unit in for repair

If you are only looking for a quote please select “Quote” Otherwise if you are ready to send your unit in for repair please select “Repair”

Your Details

Is this repair for? *

• Yourself
• Company

Company Name *

Purchase Order Number

First Name *

Last Name *

Email *

Email

Confirm Email

We ask twice as we will email you the repair form

Phone *

Your Address

Address *

Suburb *

Postcode *

State *SelectQLDNSWVICACTSANTWATASOutside Australia

Car Details

Car Brand

Car Model

Car Year

Car Rego

Car Rego StateSelectQLDNSWVICACTSANTWATASOutside Australia

Car Vin

Fault Details

What is the fault? *

Please provide as much details of the issue as possible

Is the fault Intermittent? *

• Yes
• No

Does your radio have a security code? *

• Yes
• No

Security Code *

Have you contacted us about this repair (Phone or email)? *

• Yes
• No

In most cases we can give you an estimate prior to sending. You can call us on 1300211773 or you’re welcome to sent to us without contacting us prior. We will quote you up to repair prior to repairing.

Did we give you an estimation on repair? *

• Yes
• No

Once we have recieved and inspected your unit we will contact you with a quote for repairs

How much did we quote? *

Confirm

Terms and Conditions *

• I Accept the Terms & Conditions

Terms & Conditions (Opens in a new window)

Submit

Once submitted our system will automatically email you a form to put in the box with information on where to send your repair to. This ensures we have accurate information so when we receive your unit for repair we can start the inspection process