Work Order Form

1Contact Details

First Name*

Last Name*

Company Name

Mobile phone number*

Landline

Email address*

Confirm email address*

Street address*

Suburb*

State*State or Outside?

Postcode*

How did you hear about us?

2Media Info

Can the case be opened on the device if necessary?(You must answer this as breaking seals may void some warranties):

Yes No

Type:*

Manufacturer:

Capacity:

Login/Password/Pin:

OS environment:

3Data Recovery Details

Please describe the events / observation of device failure (as much details as possible):

Has data recovery already been attempted?

Yes No

If so, please specify what solutions have already been attempted and who carried them out.

Critical Data Needed

Photo

Video

Office Document

Other

Priority Folder Name

4Assessment type

Economy Assessment (No Extra Charge)

Urgent Assessment (Priority Line) - Additional 250 AUD

Emergency Assessment (Super Urgent) - Additional 990 AUD

5Assessment Fee

Assessment Fees of : 66.00 66.00 66.00 290.00 290.00 290.00 99.00 99.00 99.00 290.00 290.00 590.00 AUD

Total amount inc.GST : 00.00 AUD

I have read and agree to the terms and conditions of service. (See Terms and Conditions).