Howard Instruments Pty Ltd. ABN 70083170432
www.howardinstruments.com.au
REPAIR ORDER
Date:
NAME
COMPANY NAME
STREET ADDRESS
CITY,POSTCODE
PHONE
This phone number will be your reference for the job. Please provide an email for confirmation of this order. SALESPERSON
SHIPPING METHOD IN
SHIPPING METHOD OUT
QUOTE REQUIRED
PROMISED DATE
ODOMETER READING IN
PAYMENT METHOD
Credit card Payments to be made by Quick Pay on our website homepage unless the cardholder is picking up in person. QTY
ITEM # OR NAME
Vehicle Month/Year
DESCRIPTION
Manufacturer
Model & Engine ID
Type of Fault
ODOMETER OUT
Part Number of Instrument
Notes:
Clock Malfunction Inaccurate Intermittent Gauge Malfunction Inaccurate Intermittent Display Intermittent Dead Illumination Fault Whole Dash Intermittent Dead Odometer Inaccurate Not Working Pointers Vibrating Fluctuating Go full scale/high Speedo Tacho Indication Malfunction Inaccurate Intermittent Warning Light Malfunction Other; Please Specify
Problem Occurs When: Ignition On Engine Start Idle Driving 0-60km/h Driving Over 60km/h When Hot When Cold Other; Please Specify This is a REPAIR ORDER for the goods named, subject to any conditions noted below:
Freight Total
To accept sign and print your name here ---------------------------------------------------------------------------------------------------------------------------------------------------------------------
REPAIR ORDER REFERENCE NUMBER:
(provided when confirmation sent)
PLEASE RETAIN THIS PORTION AND QUOTE THIS NUMBER OR YOUR PHONE NUMBER WHEN DISCUSSING YOUR JOB WITH US.
Phone 03 94574755
Email: repairs@howardinstruments.com.au