SAM ModuleStep 1 of 333%Name(Required) First Last Business NameEmail Address(Required)Phone Number(Required)Mobile NumberAddress Details(Required) Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Select Module Type(Required) W164 Rear SAM R171 Front SAM W164 Front SAM W164 Front Fuse BoxW164 Rear SAM Repair(Required) Rear Sam Is Liquid Damaged Brake lights not working or stuck on Rear indicators not flashing or always illuminated No reverse lights or reverse lights permanently on Fuel Gauge not working correctly or showing empty Central locking not functioning Tail gate not locking or unlocking Front seats no longer able to be adjusted Trailer lights not working correctly or at all Other non listed codes present I Dont KnowMost liquid damaged rear SAMs are not repairable, in this case we are able to program a new rear SAM to your VIN number. Would you like to order a new rear SAM coded to your vehicle ? ($1100 + freight)(Required) Supply & code new rear SAM Repair if not liquid damagedW164 / W251 Front SAM Repair(Required) Liquid damage to front SAM Left rear door lock not unlocking Left rear door lock not locking Right rear door lock not locking Right rear door lock not unlocking Front indicators not working or stuck on Front parker lights not working or stuck on Other non listed symptoms or codes present I Don’t KnowMost liquid damaged front SAMs are not repairable, in this case we are able to program a new front SAM to your VIN number. Would you like to order a new front SAM coded to your vehicle ? ($1250 + freight)(Required) Supply & code new front SAM Repair if not liquid damagedR171 SLK Front SAM(Required) No output to a/c compressor Other non listed symptoms or codes present I Don’t KnowW164 Front Fuse Box(Required) Vehicle wont start Vehicle starts and cuts out after 15 seconds No power to Air-matic compressor Burning smell after installing wrong relay Other non listed codes present. I Don’t Know.Please provide any additional fault codes and a detailed fault descriptionPart NumberVIN Number(Required)PhoneThis field is for validation purposes and should be left unchanged.
