| HDRS, Inc |
HDRS, Inc Physical Request
Form |
|
CONTACT INFORMATION |
| Company Name:
|
Telephone: Cell Phone: Fax: |
| Shipping Address:
|
Billing Address if different
than shipping:
|
| Contact Name(s):
|
| EMAIL ADDRESS:
| ||
| CREDIT CARD INFORMATION: (The credit card will not
be charged unless the recovery is successful. We accept Visa, MC, Amex, and Discover)
This must be filled out. No charges are made unless recovery is successful!
Number: Exp: | ||
| ||
| To help HDRS, Inc, Inc
and our partners better serve you and our other customers please
tell us how you found us: If On the Web Search Engine Used:
| ||
|
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: ( example :10 GB FAT 32 and 40 GB NTFS, if
possible.)
|
| Manufacturer:
|
Model:
|
| Number of Volumes or Partitions On Media:
|
Serial #:
|
| Approximately 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) Please do not leave blank.
|
| What
media should be used to return your data? ___I wish to buy a 80gb hard drive for $119. (IDE 3.5") ___I wish to buy an external USB 2.0 80gb hard drive for $159 ___I wish to buy a 120gb hard drive for $149. (IDE 3.5") ___I wish to buy an external USB 2.0 120gb hard drive for $189 ___The formatted drive I have included ___DVD-ROM -First DVD is free. Second DVD is $10. Each additional DVD is $25. (Each DVD holds approximately 4gb of data) (If require a different type of hard drive like SCSI or 2.5" Please call for pricing.) |
|
Reason for Failure |
| The reason of Failure or In-Accessibility:
|
| What solutions if any have already been tried to recover
data on the media:
|
|
Shipping Information |
| Shipping Company Used:
|
Tracking Number:
|
|
Terms and Conditions |
| 1.
Authorization The client authorizes HDRS, Inc, its employees, and agents, to perform any and all measures necessary to recover data from this media and or equipment. 2. Client Legal Rights The client is the legal owner, representative, or otherwise has a legitimate right to the property or act on the owners behalf and all data contained therein sent to HDRS, Inc. Any property left with HDRS, Inc unclaimed for 10 days, will be disposed. 3. Liability HDRS, Inc assumes no liability for any claims regarding the physical functioning of media and or equipment nor the condition or existence of data on storage media supplied before, during or after service. HDRS, Inc is not liable for any direct or indirect damages, including loss of data, loss of revenue, incidental or consequential, before, during or after service and also assumes no liability for uninsured shipments. 4. Confidentiality HDRS, Inc and its officers and employees know your data is highly confidential and will not disclose any data to any third party unless under final appeal and penalty of State or Federal Law. HDRS, Inc provides an absolute NON DISCLOSURE of any customer data. 5. Payment Client agrees to pay in full upon completion of services rendered by HDRS, Inc, Inc. Payment is due in full upon completion of successful recovery, prior to release of data (whether shipped, picked up or downloaded). Other payment arrangements may be made prior to recovery. If we recover the data you are looking for you must pay the price quoted for the recovery. We accept VISA, Mastercard, and American Express. 6. Media Warranty: HDRS, Inc 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. HDRS, Inc 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 HDRS, Inc, Inc. charges a $25.00 shipping and handling preparation fee. 8. Data Recovery Guarantee: Your recovery comes with a data guarantee. If HDRS, Inc, Inc does not recover the data as promised, HDRS, Inc will do everything possible to rectify the recovery ( including: reshipment at our cost of original drive for additional recovery attempts, etc.) or refund all or part of the recovery fees paid. HDRS, Inc retains an image of recovered media for 10 days. Any data integrity claim must be made with in 10 business days. All claims after 10 business days are null and void. Approved By (Print):__________________________________________ Date:___________________________ Signature: X___________________________________________________ |
