InjectorTech Service Order Form

Please read the shipping instructions carefully to avoid any problems.
Print the completed form and send it along with your injectors.

Your Shipping/Contact Details
Name:
Delivery Address:
Contact Phone Number:
e-Mail Address:
Vehicle Details
Make:
Model:
Year:
Engine Model:
Mileage:
Type of Use (General, Performance, Fleet)
Injectors to be Serviced
  Number Each  
Testing + Full Service - All MPI Injectors: $34.00 + GST  
Testing + Full Service - GDI, TBI & Mono Point Injectors: $40.00 + GST  
Testing only: $10.00 + GST  
Shipping: $9.00 + GST  
  Click to calculate  
Total, excl. GST:
GST Amount:
Total to Pay:
Your payment details:  
Print this Form    
If you cannot print this form then please click the submit button to e-mail it to us.
Make sure you include all the details above on a note included with your injectors.
Account for Payment: ANZ Account Number: 01-0277-0769568-00