Online Booking Form

PLEASE BACK UP ALL PERSONAL DATA BEFORE LAPTOP COLLECTION. LAPTOP & PC SERVICES CANNOT BE HELD LIABLE FOR ANY DATA LOSS WHILST YOUR COMPUTER IS IN TRANSIT

Collection Information
Name *
Address 1 *
Address 2
Address 3
Address 4
Post Code *
Contact No *
E-mail Address *
 
Computer Information
Serial Number
Make *
Model *
Screen Size
Processor
Hard Drive Size
Recent Blue Screen / White Text errors? * Yes    No
Password for Windows *
I have managed to Back Up all of my data prior to collection. * Yes    No
 
Condition of Computer
Broken Case * Yes    No
Scratched Case * Yes    No
Broken Screen * Yes    No
Scratched Screen * Yes    No
Power Supply & Mains Cable * Yes    No
Battery * Yes    No
Carry Case * Yes    No
Software Disks * Yes    No
If YES what Programs:
Missing Screen Rubbers * Yes    No
Missing Bottom Rubbers * Yes    No
Missing Screws * Yes    No
   
Missing Parts
Reported Faults *
* This fields are required.

SUBMISSION OF THIS FORM DOES NOT OBLIGATE YOU TO PAY FOR ANY SERVICES. SOMEONE WILL BE IN TOUCH WITH YOU SHORTLY TO DISCUSS THE DETAILS SUBMITTED ABOVE. THANK YOU.

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