dtidata.com
Physical Request Form
Tel: 866-438-6932     Fax: 813-830-6032

Ship To:
Data Recovery Lab (dtidata.com)
Att. Tim Cashman
1155 Pasadena Ave S Suite H
South Pasadena, Fl 33707

  

INSTRUCTIONS: Print the form, fill it out, sign, fax us a copy and include the original with the media/equipment you ship.

CONTACT INFORMATION

Company:

Telephone:

Address:

Fax:
City: State Zip Code:
 

Contact Names:

EMAIL ADDRESS:

CREDIT CARD INFORMATION:  (The credit card will not be charged unless the recovery is successful.  We accept Visa, MC, Amex, and Discover)

Credit Card # Expiration  Date :

Price Quoted For Recovery

Expedite Service Available

Additional $400.00

2 Day Turnaround

Would you like Expedite Service? YES or NO

We will beat most competitors quotes by 10% if you have it in writing.

Customer Care Representative You Spoke With:
Tim Cashman

Jon Moxley

Michael Stankard

Victoria Stankard

 

To help us better serve you and our other customers please tell us how you found us:

Search Engine Used:


Term or Phase Used For Search:


.
 

INFORMATION ABOUT MEDIA FOR RECOVERY

What Type of Media: ____ Hard Drive, ____ CD, ____ Jazz, ____ Zip, ____ Tape, ______________________ Other

Can we break the seals on the media if necessary?
___ Yes (May Void Warranty of Drive)   ____ No
 

Operating System:

File System If Known:

Manufacturer:

Model:

Number of Volumes or Partitions On Media:

Serial #:

How Much Data Was on the Media?

Purchase Date of Media If Known:

What data is the most important for recovery? Folders, Directories, and Files.  (exam. My Documents)

TO GUARANTEE DATA INTEGRITY THIS SECTION CANNOT BE LEFT BLANK

What media should be used to return your data?
 
 ___I wish to buy a 80gb hard drive for $99.00 (IDE 3.5")
 
 ___I wish to buy an external USB 2.0 80gb hard drive for $149.00
 
 ___I wish to buy a 160gb hard drive for $139.00 (IDE 3.5")
 
 ___I wish to buy an external USB 2.0 160gb hard drive for $189.00

___I wish to buy a 250gb hard drive for $169.00

___I wish to buy a external USB 2.0 250gb hard drive for $219.00
 
 ___The formatted drive I have included
 
 ___DVD-ROM -First Two free.  Each additional DVD is $35.

___(Each DVD holds approximately 4gb of data)
 (If require a different type of hard drive like SCSI or 2.5" Please call for pricing.)

Situation Of Failure

The reason of Failure or In-Accessibility:

What solutions if any have already been tried on the media:

Shipping Information

Shipping Company Used:

Way Bill # or Tracking Number So We Can Track It:

Terms and Conditions

1. Authorization
- The client authorizes dtidata.com, its employees, and agents, to receive and transport this media/equipment/data to, from and between their legally registered facilities.  The client authorizes DTIData.com, Inc. to use any and all means necessary in order to recover data from your media.
2. Legal Rights
- The client is the legal owner, representative, or otherwise have legitimate rights to the property and all data contained therein sent to dtidata.com.
- Any property left with dtidata.com unclaimed for 10 days, will be disposed.
3. Limited Liability
- dtidata.com shall not be liable for any claims regarding the physical functioning of equipment/media or the condition or existence of data on storage media supplied before, during or after service.
- dtidata.com is not liable for any direct or indirect damages, including loss of data, loss of revenue, incidental or consequential, before, during or after service.
4. Confidentiality
-  dtidata.com and its officers and employees agree to absolute Non - Disclosure of any and all information or data files supplied with, stored on, or recovered from client equipment.
5. Payment
- Payment is due in full upon completion of successful recovery, prior to release of data (whether shipped, picked up or downloaded), unless by special previous arrangement.  If we recover the data you are looking for you must pay the price quoted for the recovery.  
- We accept VISA, Mastercard, American Express, and Discover.
6. Media Warranty:
- dtidata.com gives warranty on all return media found to be Dead on Arrival (DOA) within 10 days of shipment. Any additional warranty claims must be presented to the original manufacturer. dtidata.com keeps all recovered data 10 days to insure against DOA instances.
7. Shipping
- All shipping charges are the responsibility of the customer regardless of the outcome of the recovery process. In addition, to the cost of shipping dtidata.com, Inc. charges a $10.00 handling preparation fee. 
8. Data Guarantee:
- Your recovery comes with a data guarantee, such that if an accepted recovery is not as promised, dtidata.com will do everything possible to rectify the recovery or refund all or part of the recovery fees paid.


Approved By (Print):__________________________________________ Date:___________________________

Signature:X___________________________________________________