DataRecoveryMasters.com |
Data Recovery Submission
Form |
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Use this form to submit Hard Drive Media |
To submit CD Media and Camera
Memory, use the Media Submission Form found here. |
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To submit a corrupted or damaged hard drive for data recovery, follow the
steps below: 1. Print out this form. 2. Fill out this form completely. Incomplete forms will result in delays in your data recovery. 3. Enclose this completed form, your hard drive, the diagnostic fee (can be applied towards data recovery cost) and ship to our address. We recommend UPS or Federal Express to assure that your data is recovered quickly. We also recommend you insure your shipment. |
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4. After we receive your drive, we will quickly perform a Diagnostic Analysis. We will then contact you via email and telephone to discuss your options including:
5. We will then perform the recovery per your instructions and return the
Data to you fast via UPS or Federal Express.
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INSTRUCTIONS: Print and fill out the form, sign,
and include the with the media/equipment and Diagnostic fee.
Your
Contact
Information |
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Company / Organization |
Contact: |
Address |
Telephone |
Fax |
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Email |
Cell/Pager |
How did you hear of us? _____ Web
Search (which one?) __________________ Computer Store (name)
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Damaged Data / Media
Information |
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Media Type: ___Hard Drive, ___CD,
___Jazz, ___Zip, ___Tape, ___Floppy _______________________________Other
(specify) |
Can we open the drive? |
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Manufacturer: |
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Data Operating System and Version: |
Model: |
Size: |
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Serial #: |
How much data is on the media? |
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What are the most important files, folders, and directories to be recovered? Please be specific as to file names, folder names, file types.
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How should the data be returned to you? |
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What kind of repair do you think you will need? |
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Priority Service is an additional fee. To request Priority Service, check the box below and enclose the Priority Service fee in addition with your Diagnostic Payment. Priority Diagnostic turnaround time is approx 3 business days. Priority Diagnostic Analysis Fee + $150.00 Do you want Priority Rush Service? _______
Yes, Rush my Recovery |
How many partitions or volumes on the media? #1: ________ ___ FAT 16 __ FAT32 __ NTFS __ OTHER #2: ________ ___ FAT 16 __ FAT32 __ NTFS __ OTHER #3: ________ ___ FAT 16 __ FAT32 __ NTFS __ OTHER #4: ________ ___ FAT 16 __ FAT32 __ NTFS __ OTHER #5: ________ ___ FAT 16 __ FAT32 __ NTFS __ OTHER #6: ________ ___ FAT 16 __ FAT32 __ NTFS __ OTHER |
Describe the Failure |
Describe the problem. Please use additional pages if necessary. |
What have you tried already to recover the data? |
Payment Information |
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Enclose the Minimum Diagnostic Fee. This fee can be applied towards the actual data recovery cost and is not refundable. If you are requesting Priority Service, enclose an additional $150. Payment in the form of Check, Credit Card, Money Order, Cashiers Check, Cash is accepted. Note that personal checks will delay your data recovery while the bank clears your check. | |
Payment Type _____Visa _____ MasterCard
_____ Check |
Card Holders Name |
Credit Card Number |
Card Holders Billing Address |
Expiration Date
Security Code (CCV) |
Card Holders Billing City, State, Zip |
I agree to the payment terms in the Credit Card Holders
Agreement. |
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NOTE: On all credit card payments, the Drive will be shipped to the exact address as listed on the credit card account. Shipping to a different address is not possible. |
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Return
Shipping Information |
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Return shipping method ___ UPS Next Day Air with Saturday Delivery ___ UPS Next Day Air ___ UPS Second Day Air ___ UPS Ground |
Return shipping payment method ___ Use my UPS Account Number: ________________________ ___ Use my FedEx Account Number: ________________________ ___ Bill the shipping to my credit card as listed above |
Return Shipping Insurance Data Recovery Masters and CTE Computer is not responsible for any damages, loss, and theft incurred
during shipping. Data and drives may be moved or shipped between
our facilities for faster recovery. We recommend insuring your
drive. Check one of the following: |
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Terms and Conditions |
Service
Limitations |
Waiver of
Liability
I agree to accept the responsibility for shipping the system, hard drive,
or data media to
CTE. CTE will not be responsible for any damages, loss, or theft incurred
during the shipping process and any loss or claim against such agents shall
be solely by and on the behalf of the undersigned. Declaration of ownership and authority |
Approved By Client
(Print) __________________________________________ Title
___________________________ Signature ___________________________________________________ Date ___________________________ |
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Drive Information Detail Section |
Please answer these questions to the best of your ability. Skip any questions if you do not know the answer. |
What type of media is it? __ IDE hard disk __ Iomega Zip TM disk __ Iomega Jest disk __ Laptop hard disk: If you are sending in the entire laptop, with drive still in the laptop, include the power supply. If the laptop has a network card, please include the network card and any drivers. The laptop must have a functioning floppy disk drive so that the laptop can be booted using a bootable diskette. __ SCSI hard disk: If the drive is a SCSI drive, please send in the drive controller and drive cable if convenient. If you are unable to send in the controller and cable, we will attempt to use our SCSI controllers to read the drive.
__ Tape Media. Type and Size
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Fill out and enclose this entire form. Submit with your Hard Drive and Diagnostic payment. |
If you have any questions filling out this form, speak to one of our data recovery experts at (562) 421-7105. |
© CTE Computer - Data Recovery Masters. All rights reserved. |