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SEKRA GLOBAL
Auto Electronic Remanufacturing
ORDER / REPAIR FORM
*Name:________________________________________ *Date:_____/______/_______(DD/MM/YYYY)
*Address:______________________________________ *City:_____________* State:________
*Zip:______
Daytime Phone #Cell : _____-______-________
*Email:_____________________@__________________
*Auto Year:_________ *Make:______________________*Model:_____________________________
*Please Describe The Fault :______________________________________________________________
*Fault Codes Read?____________________________________________________________________
Does Fault Happen Under Special Conditions _______________________________________________
Effected by Heat ?___________ Cold ?__________ Rain?_____________ Intermittent _____________
Please package your module carefully.
Ship defective Unit with this form to:
SEKRA GLOBAL AUTO ELECTRONIC REMANUFACTURING
#105K – 2911 Bayview Avenue
M2K 1E8, Ontario, Toronto, CANADA
Toll Free +1(888) 609 4416
(647) 865 6402
(416) 496 2097
[email protected]
Address : #105K – 2911 Bayview Avenue, M2K 1E8, Toronto, ON, Canada