REPAIR COVERSHEET

PLEASE FILL OUT FORM AND INCLUDE WITH YOUR UNIT FOR REPAIR
We offer a 90 Day Warranty on ALL Repairs.
Please note:
Not all units are repairable. In the event that your unit is non-repairable, you will be charged a $35 diagnostic fee, we will also ask you to pay the shipping cost back if you would like the unit shipped back..

 

Ship to: Original Car Audio

             12105 - 12th Ave. S.

             Burnsville, MN 55337


Customer Name:  ___________________________  Date:  __________ Sales Rep: __________

Phone #:____________    Email Address:  _______________________      Quoted Price $_______


Vehicle:  YEAR _______  MAKE ______________   MODEL _____________________ 

Lock Code(Acura/Audi/Honda/Mercedes/Volkswagen Only):  _____________


ACURA/HONDA Nav drive owners. Please don't send mounting brackets with your unit.

What seems to be the problem with your unit?:                   

                                                                                                          
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Would you like your CD's back?:  Yes (   )     No (   )

Select your unit type:   Six CD (   )   Single CD (   )   DVD Player (   )   Navigation (   )

Payment type: Credit Card(upon completion) (   )      Money Order(w/unit) (   )      eBay (   )


GM Customers: If you would like buttons or lights replaced, please call us before shipping it.


Signature ______________________________________________ Date _____________

By signing here, you are authorizing OEM Car Audio, LLC to repair your radio. You are also agreeing to the policies that can be found at cd4car.com, and signifying that you packaged the radio well enough to survive shipping