ECU / Module Service Intake Form
ECU Tech Labs Phone: 336-510-9816
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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 (if applicable)
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($150 doner sourcing applies)
Not applicable
Please upload 2 photos: (1) module label/sticker showing part numbers, (2) connector side of module showing the pins
Browse Files
Drag and drop files here
Choose a file
Cancel
of
How did you hear about us?
*
Facebook
Google
Referral
Printed Ad
Other
Description of the Issue (the more detail, the better)
*
Submit
Should be Empty: