Issuu on Google+

Howard Instruments Pty Ltd. ABN 70083170432

www.howardinstruments.com.au

REPAIR ORDER

Date:

NAME

COMPANY NAME

STREET ADDRESS

CITY,POSTCODE

PHONE

EMAIL

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


/Repair%20Order%20Howard%20Instruments%282%29