Tel: 818-785-8085
Toll Free: 800-580-3376
Fax: 818-782-5939
 
Shipping Form
  1. Please fill out, print this form and attach it to your unit before shipping.
  2. Company Name
    Please type your company name.
  3. Last Name(*)
    Please type your last name.
  4. First Name(*)
    Please type your first name.
  5. E-mail(*)
    Invalid email address.
  6. Cell Phone Number(*)
    Please type your cell phone number.
  7. Home phone
    Please type your home phone number.
  8. Work Phone
    Please type your Work Phone and Extension number.
  9. Address(*)
    Please type your address.
  10. City(*)
    Please type your city name.
  11. State
    Please select your state.
  12. Zip Code(*)
    Please type your zip code.
  13. Country
    Please type your country name.
  14. Today's date(*)
    Please enter today's date.
  15. Unit Information
  16. Model Number
    Please type the model number of your unit.
  17. Serial Number(*)
    Please type the serial number of your unit.
  18. Vehicle Make & Model
    Please type the make of your vehicle.
  19. Vehicle Year
    Please type the year of your vehicle.
  20. Problem Description or Comment(*)
    Invalid Input
  21.   Please print the form before submission.
  22.   
  23. Ship to:

    Hi-Tech Electronic services
    7049 Valjean Ave.       Van Nuys, CA 91406
    Tel:(818)785-8085    Toll free:(800)580-3376    Fax:(818)818)782-5939

    www.HiTechServ.com
    Email: service@hitechserv.com