Mail-In Repair Request
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Company Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date
*
-
Month
-
Day
Year
Date
Device Model
*
Serial #
Please Select the Repairs
*
LCD
Hard Drive
CPU
Application problem
Virus
No power
Won't boot (software)
Charge Port
Screen
Back Glass
game console
Water Damage
No Touch
Unknown
Other
Brief description of the problem
*
Upload Files of the Problem (if applicable)
Browse Files
Cancel
of
Upload Screenshots of the Problem (if applicable)
Submit
Should be Empty: