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Testing Form
Customers Name
:
Ref no:
Address:
Tel No:
Fax:
E-Mail:
How would you like us to contact you?
E-Mail
Fax
Telephone
Unit Details
Type of Unit:
E.C.U
Air flow Meter
Throttle Body
Speedo
ABS Pump
For:
Purchase/Enquire
Testing
Make of Unit:
Bosch
Ford
Hella
Hitachi
Honda
Mitis
Morelli
Siemens
Other
Part No's:
Car Details
Make:
Year:
Engine cc:
Imported?
Fuel type:
Petrol
Diesel
Gearbox:
Manual
Automatic
How did you find us ?
Web
Advertisement
Phone book
Yellow Pages
Exchange & Mart
Car Part Mag
Other
Addittional Comments:
