Howard Instruments Pty Ltd. ABN 70083170432 www.howardinstruments.com.au
VEHICLE REPAIR ORDER
Date:
NAME
COMPANY NAME
STREET ADDRESS
CITY,POSTCODE
PHONE
SALESPERSON
SHIPPING METHOD IN
SHIPPING METHOD OUT
QUOTE REQUIRED
ORDER NO.
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
UNIT PRICE
DESCRIPTION
Manufacturer
Type of Fault
Model & Engine ID
Vin
LINE TOTAL
Registration Number
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 vehicle named subject to prescribed conditions below: During the process of repair, some or all of your stored data may be lost. Please ensure that you have saved this data elsewhere prior to repair. Goods presented for repair may be replaced by refurbished goods of the same type rather than being repaired. Refurbished parts may be used to repair the goods.
To accept sign and print your name here ---------------------------------------------------------------------------------------------------------------------------------------------------------------------
PLEASE RETAIN THIS PORTION AND QUOTE YOUR REGISTRATION WHEN DISCUSSING YOUR JOB WITH US.
Email:repairs@howardinstruments.com.au Phone 03 94574755