Laneway PC Repairs

Step 1/4: Your Information
Work Order Number
Name*

First NameLast Name
Email*
Phone Number*
Step 2/4: Device Information
Select your device make*
What is your make?*
What type of device is this?*
What type is it?*
Please describe the problem with your device or the service you require.*
Do not put your passwords or emails here!
Has there been previous service or repairs done to your device?*

YesNo
If yes, please describe the previous service or repairs done*
Is there existing damage to your device?*

YesNo
If yes, please briefly describe the damage (eg: dents, scratches or missing keys)*
Is your device still under manufacture or extended 3rd party warranty?*

YesNoUnsure
Step 3/4: Almost Done...
When would you like to drop off your device?*
Preferred method(s) of contact*

CallEmailText
Step 4/4: Agreement
Some services and repairs may require your computers username, password and/or PIN. For customer privacy this information is NOT permanently stored electronically. You will be notified only if this information is needed.*

I Understand
Some repairs may require your computer to be factory restored meaning all data will be erased. A backup will be performed if the condition of the device will allow so. You will be contacted in advance if this needs to be done.*

I Understand
Please verify that you are not a robot*
Should be Empty:

Step 4/4: Agreement