Please fill out the form below and include it with your shipping package:
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This
information will help us to speed up the diagnostic (EVALUATION) of your Hard
Drive. Once we receive this form our customer service representative will
Call or Email you back for Hard Drive confirmation. If you need to contact
us please call us at 617-282-9556.
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| Contact Name: | ||||
| Company Name: | ||||
| Email: | ||||
| Address: | ||||
| City, State Zip: | ||||
| Phone: | Cell / Fax: | |||
| Drive Name, Model #: | Serial #: | |||
| Operating System: | DOS 95 98 ME 2000 NT XP Unknown | |||
| File Type: | DOS FAT FAT16 FAT32 NTFS Unknown | |||
| # of Partitions: | If Known | |||
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Brief Descriptions of your
Hard Drive failure: |
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List Files, Folders and/or Directories: |
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Terms of
Agreement: |
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Signed by: ________________________ Date: |
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