Repair Form

Note: In some cases we can come out and repair the unit on site or remove and refit once repaired, this service incurs an additional callout charge. We can only offer this service if you are located within the Map as shown.

Please complete the repair form below; submit your details, then print your repair form and send it along with your unit to:

Repair Form

Name:
Email:
Address Line 1:
Make and Model:
Address Line 2:
Year of manufacture:

County:
Vehicle Reg:
Postcode:
Mileage:
Landline Telephone:
Petrol or Diesel:

Mobile Telephone:
Manual or Auto:

Brief Description of the Problem*
Any Extra Comments
Chosen method of payment: *

  • BACS Transfer
  • Payment over Telephone
  • Cheque with parcel made payable to “Electrotech

payment will not be required until repair is complete and ready for dispatch.