Apex Laptops - Data Recovery form

Apex Data Recovery Services

YOUR WS NUMBER :
CONTACT INFORMATION
Company :
First Name :
Last Name :
Address :
Post Code :
Email Address :
Phone Number :
Preferred Contact Method :	Email Address Phone Number

MEDIA INFORMATION
Media Type (HDD, FDD,CD, DIGITAL MEDIA CARD ETC):
Model :
Serial Number :

Please list any System or Windows passwords you use.
System Password:
Windows Password:
Internet Password:

PROBLEM DESCRIPTION

Please provide a detailed problem description. Error numbers and Error descriptions are extremely helpful in determining the problem. If possible, please include detailed step by step instructions to replicate the problem .

WARRANTY AND LIABILITY STATEMENTS
Please check each statement below confirming that you agree to the terms and conditions set forth for any repairs performed by Apex Laptops.
	I understand Apex Laptops is not responsible for any software or data lost on my media. However, we will always make an exact clone of your device before comencing any work.
	I understand Apex Laptops is not responsible for any damage caused to my media during shipping to AND from our workshop. I understand that Apex Laptops will insure my media during return shipment.
	I understand Apex Laptops charges an inspection fee of £25.00 + VAT. The inspection fee is automatically absorbed into the final repair cost once I have given go ahead for the repair. If I decline repair I must pay the inspection fee.

PLEASE SIGN YOUR NAME

Our workshop address to send to:

APEX LAPTOPS

8 High Street

Wouldham

Rochester

Kent

ME1 3XB

We accept the following payment methods:

VISA/Debit Cards/MasterCard/JCB/Switch/Solo

Cheques & BACS