FRANÇAIS
NEWS PRICING REACTIVATION FORM STATUS CONTACT
REACTIVATION FORM


RESET YOUR MODULE AIR BAG IN 3 EASY STEP:

1) Complete the following form
2) Once completed, print it.
3) Send your airbag module to us, including your printed form into a secured box

You will receive an email when your order is shipped.

AIRBAG MODULE CAR IDENTIFICATION:

MAKE:
MODEL: (Ex: Golf GTI 2.8)
YEARS: (Ex: 2004)
VIN:
(17 char)
VEHICULE OWNER NAME:

BILLING & DELIVERY INFORMATIONS:

IMPORTANT :
Please give us an address where there’s alway somebody to sign on delivery between 8h and 17h business days only.

BUSINESS NAME: (Ex: Auto fix inc)
YOUR NAME: (Ex: John Nash)
EMAIL:
PHONE: (Ex: 450-123-1234)
DELIVERY ADDRESS IS: COMMERCIAL OR RESIDENTIAL
STREET: (Ex: 123 Avenu)
POSTAL CODE: (Ex: X0X 0X0 or 654321)
CITY: (Ex: Montreal)
STATES: (Ex: Quebec)
COUNTRY: (Ex: Canada)


All right reserved (C) 2017
Created and coded with care by Thom. B.