Update Info Form

Update Information Form

This Form cannot be submitted until the missing fields (labelled below in red) have been filled in
Name of Supplier
Street Address
City
State/Prov
Country	CountryUnited StatesCanada----------------AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntiguaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribadiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoFederated States of MicronesiaMoldovaMonacoMongoliaMontserratMoroccoMontenegroMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaS. Georgia and S. Sandwich Isls.Saint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSt. HelenaSt. Pierre and MiquelonSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamUS Virgin IslandsWallis and Futuna IslandsWestern SaharaYemenYugoslavia (former)ZaireZambiaZimbabwe
Zip/Postal Code
In the box below... Identify the Supplier web page (as listed on RepairEngineering.com) that needs to be updated. (For example... Profile Page, Repair Project Name, etc.)
In the box below... Describe the modification / update / deletion that is requested.
(The following information will not be published on-line unless it happens to be listed above.) Name of person submitting this form:
I agree to the Terms & Conditions listed below.
Please enter the word that you see below.

Terms and Conditions:
By submitting this Form, I hereby request a modification of content that was previously submitted to RepairEngineering.com.

I acknowledge that I am authorized to represent the Repair Service Supplier that is identified in this Form and understand that RepairEngineering.com may, at its discretion, make direct contact with the Supplier to independently verify the accuracy of the information that is submitted in this Form before making the requested modifications to content.

I certify that I have the right to submit the content that I am submitting. I agree to grant to RepairEngineering.com an exclusive, royalty-free, irrevocable, transferable, perpetual license to publicly display my submission on RepairEngineering.com. Submission of photo(s) or other image(s) is on a non-exclusive basis. I grant RepairEngineering.com the right to pursue anyone who copies my submission.

I affirm that any information provided to RepairEngineering.com for website display is original content, not copied, that is owned by the Repair Service Supplier identified in this submittal Form. I understand that any content that violates any copyrights will be deleted.

I agree that RepairEngineering.com may make minor changes to the submitted content to improve clarity and readability, and to correct punctuation and typographical errors.

I am of full age and freely agree to these terms which I have read and understand.