NOTEBOOK DATA RECOVERY

NOTEBOOK DATA RECOVERY

Shipping Form

Before you ship your media/device to us, please complete and
print this form. Also include a copy of it with your shipment.

* indicates required field

Contact Information
First Name *
Last Name *
Company Name
Address Line *
City *
State *
Zip Code *
Country *
Primary Phone Number *	- -
Cell Phone Number	- -
Fax Number	- -
E-mail
Media/Device Information
Media Type
Manufacturer
Model
Operating System:
Capacity
Number of Partitions
File System
Compressed
List Critical files and Directories:
Enter Circumstances of Hard Drive Crash:
Terms of Contract:	I agree to allow Optimum Data Recovery, Inc.(ODRI)to perform data recovery process on my device/media. ODRI is not responsible for any damage during shipment and data recovery process. Manufacturer warranty may be void. ODRI is not resposible for any equipment left after 45 days.
Agreed with Terms ?
Do you want expedited services?
Signature :_______________________ Date:_____________
Shipping Address:
Notebook Data Recovery 19719 Canyon Gate Court Katy, Texas, 77450

Data Recovery