Complete all required fields. Your submission will be reviewed before any work begins.
Vehicle owner
Required
Valid email required
Online order
Required when order is referenced
Vehicle information
Required
Required
Required
Enter a valid 17-character VIN
Odometer reading
Required
Engine hours cannot be negative
I certify that, to the best of my knowledge, the odometer reading stated above reflects the actual mileage of the vehicle described herein.
You must certify the odometer reading
Reason for odometer alteration *
The original instrument cluster was damaged and requires replacement or repair.
A replacement cluster is being fitted and cloning of the original mileage data is required.
Unit conversion is required (kilometers to miles, or vice versa).
Other — please specify below.
Please select a reason
Required when 'Other' is selected
Terms & legal acknowledgment
Federal Odometer Disclosure (49 U.S.C. § 32705): Federal law requires that you provide an accurate odometer disclosure upon the transfer of a motor vehicle. Best Pixel Repair Inc. has advised you of your legal obligation to disclose any odometer alteration to any prospective purchaser. Altering an odometer with intent to defraud is a federal offense punishable by fines and/or imprisonment.
Limitation of Liability: Best Pixel Repair Inc. reserves the right to decline any work, with or without explanation. By submitting this form, you agree to indemnify, defend, and hold harmless Best Pixel Repair Inc. and its officers, employees, agents, and representatives from any and all claims, demands, actions, damages, losses, liabilities, costs, and attorneys' fees arising out of or in connection with odometer-related work performed on the vehicle described above.