Repair Service Customer Information Sheet

German Audio Tech

Repair Service Customer Information Sheet

Complete this form on screen, print it, and include it inside the package with your defective part. Please fill in every field that applies.

Important: This form does not submit or store your information online. Your entries remain in your browser until you print or close the page.

1. Customer & Order Information

Full name

Telephone

Email address

Purchase date

Order number

eBay user ID (if applicable)

Complete return shipping address

2. Vehicle & Part Information

Vehicle year

Vehicle make

Vehicle model

Part number

Part description

3. Repair Information

Describe the symptoms or problem

Special notes or requests

4. Pack & Ship

Ship your part to: German Audio Tech
Attn: Repair Department
65 Pine Ave #337
Long Beach, CA 90802

Print and place this completed sheet inside the package.
Pack the part securely with sufficient cushioning.
Use a trackable shipping service and retain the tracking number.
Do not send unrelated brackets, trim, or accessories unless requested.

Download fillable PDF

For your privacy, this page does not transmit the information you type. Use the Print button or download the fillable PDF, then include the completed form with your shipment.