DtiData Data Exchange Recovery Lab Exchange Data Recovery Submission Form
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Tel: 866-438-6932 Fax: 813-830-6032
Client Name:
Phone Number:
Ex:
Fax Number:
Company Name:
Credit Card Billing Address:
City, State, Zip:
Equipment being sent:
Contact person:
Contact person's email:
Disclosure and Acceptance:
We require EXPEDITED services for an additional fee of $400 :
Charges for actual data recovery
will be forwarded to customer after the diagnosis is
completed the initial price range
quoted was: $
Evaluation fee must accompany drive(s).
Company check, cashiers check or credit card is
acceptable for this part of the service.
Print name of cardholder: ______________________________________________________
M/V/AMEX/#_____________________________________________
Exp. Date ______________________________________________________
Signature: ______________________________________________________
Title: __________________________________________________________
Date: __________________________________________________________
Drive/Media Information
PLEASE FILL OUT AS COMPLETELY AS POSSIBLE
Manufacturer:
Model #:
Computer Model:
Controller Model:
Any additional equipment used:
Operating System (Circle): DOS
/ Novell / Mac / OS2 / UNIX / Irix / WinNT / Others:_
Compress Drive (Circle): Yes No
Version of Exchange:
Edb file size (include .stm file
for 2000 and 2003):
General Failure:
Any additional information you
feel will help us recover your data including any attempts
made by you or other parties to
recover lost data:
SHIPPING INSTRUCTIONS:
Call to verify the appropriate DTI lab
to receive your drive/media and:
1.
Wrap the drive in an anti-static bag or plastic material
2. Use bubble
wrap or peanuts to securely pack the hard drive.
3. Pack in a
box twice the size of the box
4. Write your
Company Name on the outside of the box.
5. Write the
weight on the box and make sure your return address is also on the box
LIMITED WARRANTY:DTI warrants only to use its best efforts to identify
the problem and provide
LIMITATION OF LIABILITY: In no event willDTI be liable
for any further damages, including loss
LIABILITY FOR CERTAIN CLAIMS:DTI in any event, shall not be liable for any damages
and will
UNCONTROLLABLE CIRCUMSTANCES: Either party's performance of any part of
this agreement shall
OWNERSHIP OR RIGHT TO HAVE EQUIPMENT INDEMNIFICATION: Customer warrants
Customer Confidentiality
IN WITNESS WHEREOF,
THE PARTIES HAVE SIGNED AND DATED THIS AGREEMENT ON:
CUSTOMER: Date ,