Repair Form

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.How can we contact you if needed?
Please enter a valid phone number.
4
Choose Device Type* This field is required.Choose from the dropdown
iPhone
Samsung
Huawei
Pixel
Sony
Other
Pick Device
5
Choose Repair* This field is required.What type of repair are you looking for?
Screen Replacement / Repair
Battery Replacement
Water Damage Recovery
Unlock
Front / Back Camera Replacement
Charging Port
Speaker Repair
Other
6
What Model do you Have?* This field is required.Example: S22
7
Confirm Location* This field is required.Choose one of our service centres
Vancouver
Richmond
Coquitlam
Burnaby
Should be Empty: