Physical Request Form

West end house, 33 Lower Richmond Road,
Mortlake, London SW14 7EZ.
Tel 020 8487 5533
Fax 020 8487 5522


INSTRUCTIONS: Print the form, fill it out, sign, fax us a copy
0208 487 5533 and include the original with the media/equipment you ship.

CONTACT INFORMATION

Company:

 

Telephone:

 

Address:

 

 

Fax:

 

 

Contact Names:

 

EMAIL ADDRESS:

 

CREDIT CARD INFORMATION:  (The credit card will not be charged unless the recovery is successful.  We accept Visa, MC, Amex, and Discover)

 

Price Quoted For Recovery:

 

Customer Care Representative You Spoke With:
           Bill, Bob, Brett, Chris, Dan, Dave, Jeffrey, Michael, Carmen

(Please Circle One)

To help us better serve you and our other customers please tell us how you found us:

Search Engine Used:


Term or Phase Used For Search:


All customers who fill out this part of the form will receive a free copy of Fast File Undelete.  A $24.95. value.

 

 

INFORMATION ABOUT MEDIA FOR RECOVERY

What Type of Media: ____ Hard Drive, ____ CD, ____ Jazz, ____ Zip, ____ Tape, ______________________ Other Can we break the seals on the media if necessary?
___ Yes (May Void Warranty of Drive)   ____ No
 
Operating System:

 

File System If Known:

 

Manufacturer:

 

Model:

 

Number of Volumes or Partitions On Media:

 

Serial #:

 

How Much Data Was on the Media?

 

Purchase Date of Media If Known:

 

What data is the most important for recovery? Folders, Directories, and Files.  (exam. My Documents)

 

 

 

 

What media should be used to return your data?

___I wish to buy a 60gb hard drive (IDE 3.5")

___I wish to buy a 120gb hard drive . (IDE 3.5")

___CD-ROM (For 3gb of data or less)

___The formatted drive I have included

___DVD-ROM (For 8gb of data or less) $25.00 Service Charge Per DVD

___Other (specify): ____________________________

 

Situation Of Failure

The reason of Failure or In-Accessibility:

 

 

What solutions if any have already been tried on the media:

 

 

 

Shipping Information

Shipping Company Used:

 

Way Bill # or Tracking Number So We Can Track It:

 

 

Terms and Conditions

1. Authorization
· The client authorizes dtidata.com, its employees, and agents, to receive and transport this media/equipment/data to, from and between their legally registered facilities.
2. Legal Rights
· The client is the legal owner, representative, or otherwise have legitimate rights to the property and all data contained therein sent to dtidata.com.
· Any property left with dtidata.com unclaimed for 90 days, will be disposed.
3. Limited Liability
· dtidata.com shall not be liable for any claims regarding the physical functioning of equipment/media or the condition or existence of data on storage media supplied before, during or after service.
· dtidata.com is not liable for any direct or indirect damages, including loss of data, loss of revenue, incidental or consequential, before, during or after service.
4. Confidentiality
·  dtidata.com and its officers and employees agree to absolute Non - Disclosure of any and all information or data files supplied with, stored on, or recovered from client equipment.
5. Payment
· Payment is due in full upon completion of successful recovery, prior to release of data (whether shipped, picked up or downloaded), unless by special previous arrangement.  If we recover the data you are looking for you must pay the price quoted for the recovery.  
· We accept VISA, Mastercard, American Express, and Discover.
6. Media Warranty:
· dtidata.com gives warranty on all return media found to be Dead on Arrival (DOA) within 14 days of shipment. Any additional warranty claims must be presented to the original manufacturer. dtidata.com keeps all recovered data 14 days to insure against DOA instances.
7. Shipping:
· All shipping charges are the responsibility of the customer regardless if the data is recovered or not.
8. Data Guarantee:
· Your recovery comes with a data guarantee, such that if an accepted recovery is not as promised, dtidata.com will do everything possible to rectify the recovery or refund all or part of the recovery fees paid.


Approved By (Print):__________________________________________ Date:___________________________

Signature:
X___________________________________________________