Lapy King Data Recovery Request Form
Customer Details
I am a new customer
I am an existing customer
First Name
(required)
Last Name
(required)
Company Name (if applicable)
Address
(required)
Suburb
(required)
State
(required)
Post Code
(required)
Fixed Line Phone No. (Please include your area code)
(required)
Mobile Phone No.
(required)
Email
[ ? ]
(valid email required)
Referred By
[ ? ]
Laptop or Storage Media Details
Brand
Toshiba
HP
Compaq
ASUS
Dell
Acer
SONY
IBM
Lenovo
Other
Model Name
[ ? ]
Part Number or Model Number
[ ? ]
(required)
Serial Number
[ ? ]
(required)
Password (If no password please enter NONE)
[ ? ]
(required)
Operating System (Leave blank if unknown)
Data Volume (Leave blank if unknown)
[ ? ]
Service Request Details
Describe what happened to this media/laptop and what symptoms you are having?
(required)
What recovery attempts have already been made?
(required)
What are the most important files/directories that should be targeted for recovery? Please list from most important to least important.
(required)
Please list any partitions in your storage media
(required)
Additional Services (additional fees apply)
Do you want to book this service as a priority service?
[ ? ]
Yes, I agree to pay the Priority Fee ($99)
No thanks, Standard Level is OK
Do you want the latest Internet Security software loaded to your laptop?
[ ? ]
Yes please provide me with a quote
No thanks
Do you want to upgrade your memory for faster performance?
[ ? ]
Yes please provide me with a quote
No thanks
Do you want to extend your warranty cover?
[ ? ]
Yes please provide me with a quote
No thanks
Do you want to purchase a spare battery?
[ ? ]
Yes please provide me with a quote
No thanks
Do you want to purchase a spare adaptor?
[ ? ]
Yes please provide me with a quote
No thanks
Do you want us to return the laptop by courier?
Yes please provide me with a quote
No I will pick-up the laptop myself or send my own courier to pick-up when the service is completed
Customer Statements
I have read and accepted your
Packing Instructions
I have read and agreed to your
Service Terms and Conditions
Please select the option that applies to you:
I have made a prepayment of $88 into your bank account BSB:032166 ACC NO:185697
I will enclose a cheque payable to Lapy King for $88
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