General Order Acceptance Form

Please complete highlighted fields as they are a compulsory request*

Once your repair is booked in please send this form with your unit for a swift and hassle free experience with Cluster Repairs UK. (Please note, without this form completed delays may be experienced)

*Make and Model of Vehicle

*Vehicle year

*Registration

Type of repair

  • Instrument Cluster
  • Satellite Navigation GPS
  • ACC A/AC Climate Control
  • Monitor
  • MID
  • Other
  • OBC

*Description In full

*Quoted Price £ Unquoted price, Please tick box

*Contact Info

Full Name

Address line 1

Address line 2

Post code

Tel:

Fax:

Mobile:

Email:

*Payment Methods

Credit card payments

  • Pre Paid
  • Paypal
  • Cheque
  • Credit /Debit Card
  • Cash Inbox
  • Other

Return Postage Info:

Package £6.99 - Large package £8.99

Saturday delivery Guaranteed + £2.99 - please tick Box

All deliveries are guaranteed next day except Saturdays unless stated.

Any Other helpful info:



Once your order form has been completed, please print off form and send with your repair.