Custom Computer Drop Off/Repair Form

Diagnostic & Repair Options *

PC Part Diagnostics - $40-$69
Custom Single Water-Loop (Soft Lines) - $189
Custom Dual Water-Loop (Soft Lines) - $289
Air/AIO Water-Cooled Systems - $149
Custom Single Water-Loop (Hard Lines) - $229
Custom Dual Water-Loop (Hard Lines) - $329
Data Recovery (See Below)
Custom Build (See Below)

*Custom Desktop Diagnostics start at $149 and goes up to $329 depending on complexity. **Prices shown are per computer.

Custom Build Options *

Air-Cooled Systems - $149
Custom Single Water-Loop (Soft Lines) - $229
Custom Double Water-Loop (Soft Lines) - $329
AIO Water-Cooled Systems - $189
Custom Single Water-Loop (Hard Lines) - $299
Custom Double Water-Loop (Hard Lines) - $399
Diagnostics (See Above)

Data Recovery Attempt - $149 *

Yes
No

This option is for drives not reading under normal circumstances. Simple data transfer from GOOD WORKING drives is covered under Diagnostic & Repair options.

Name *

First

Last

Address *

Address 1

Address

Address 2

City *

State/Province *

ZIP *

Phone Number (No Dashes) *

Contents Dropped Off

Parts/Components
Desktop
Other (Please note in description)

OS Login Password & PIN *

If none type N/A

Email Address *

Description Of Problem *

Computer Specs & Serial Number (If Applicable) *

Customer agrees to the following terms: *

1. The installation & removal of software or hardware can sometimes result in the loss or corruption or data. I (customer) will not hold The Tech Monkey liable for any lost data.
2. The process of reinstalling the Operating System will likely result in the loss of saved Passwords, Browser Settings & other personalized options. Programs cannot be backed up
3. The Tech Monkey will charge a $69 diagnostic fee if you do not wish to proceed with repairs.
4. Improper description of problem/s or ommision of details can delay repair time.

Date *

Signature (First & Last Name) *

Custom Computer Drop Off/Repair Form

Please complete the form below