ECU / Module Service Intake Form
ECU Tech Labs Phone: 336-515-0478
Company
Point of contact
*
First Name
Last Name
Mobile Phone Number
*
Please enter a valid phone number where we can send a text.
Format: (000) 000-0000.
Pickup and delivery address
*
Within 25 miles of downtown Winston-Salem, pickup and delivery are included. Otherwise, mail to: PO Box 47, Wallburg, NC 27373. We will take care of the return shipping.
Email
*
example@example.com
Is the module still in the vehicle, or has it been removed
*
In Vehicle
Removed
What Type of Module
*
ECU / ECM (Engine Control Unit / Module)
PCM (Powertrain Control Module)
TCM / TCU (Transmission Control Module / Unit)
ECM + TCM Combined Unit
Other (explain in description)
Vehicle Year
*
Vehicle Make
*
Vehicle Model
*
Vehicle VIN #
*
Module part number
Module Manufacturer
Siemens VDO, Continental, Bosch etc
Service Requested
*
Cloning
Virginizing
Recovery
IMMO
Bench Diagnostics
Replacement Programming
Backup Read Only
Other (explain in description)
Do you have a donor module?
*
Yes I have a matching donor
No. I need you to source one($99 doner sourcing + doner cost applies)
Not applicable
If you can read the module's part number off the label, you can skip this. If the label is damaged, worn, or unreadable, or the module has any other physical damage, upload clear photos here instead:(1) module label/sticker showing part numbers, (2) connector side of module showing the pins, (3) obvious physical damage
Browse Files
Drag and drop files here
Choose a file
Please note: if the module can't be identified from the part number or these photos, the unit may need to be sent in or inspected before we can confirm the job and provide a firm quote.
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Description of the Issue (the more detail, the better)
*
Submit
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