PC REPAIR DROP-OFF FORM

Diagnostic & Repair Options - Labor Only, Parts Additional ** *

Standard In-House - $69 - 4 to 5 Days
Pick-Up/Drop-Off - $99 - 4 to 5 Days
Courtesy Check For Prior Diagnostic Service - $0.00 (Within 30-Days of prior service)

**Prices shown are per computer.

Priority Service Options - Labor Only, Parts Additional *

Standard In-House +$0 ($69 Total) - 4 to 5 Days
Advanced +$10 ($79 Total) - 2 to 3 Days
Expedited +$20 ($89 Total) - 1 to 2 Days
Same Day +$30 ($99 Total) - 10 AM Deadline
Pick-Up/Drop-Off Priority Service* +$50 ($149 Total) - 1-2 Day

*Please call to schedule time for Pick-Up/Drop-Off Service.

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) *

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