PC REPAIR DROP-OFF FORM

Diagnostic & Repair Options ** *

Standard - $69 - 5 to 7 Days
Expedited - $89 - 1 to 2 Days
Custom Desktop Diagnostics* - $99-$199 - 5 Day Minimum
Advanced - $79 - 3 to 5 Days
Same Day - $99 - 10 AM Deadline
Courtesy Check For Prior Diagnostic Service - $0.00 (Within 30-Days)

*Custom Desktop Diagnostics start at $99 and goes up to $199 depending on complexity. Certain variables such as AIO watercoolers or custom water loops would account for this. **Prices shown are per computer.

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 *

Content Dropped Off *

Laptop
Desktop
Accessory

Charger included? *

Yes
No

OS Login Password & PIN *

Windows Password, Mac Password, Ect.

Email Address *

Description Of Problem *

Computer Brand & Serial Number *

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) *

PC DIAGNOSTIC & REPAIR DROP-OFF FORM

PLEASE COMPLETE THE FORM BELOW