Ship-In Intake Form

Ship-In Intake Form

Complete this form & payment to begin the process of having your device repaired by our professionally trained technicians. Once you’ve submitted this form with payment, you will receive an email confirmation with a link to download a shipping label to ship your item to us.
Name*

First NameLast Name
Email*
Phone Number*
The address below will be used to generate your shipping label for sending your device to us. Please ensure it matches the location where you want your device returned.

IMPORTANT: When entering your state, use the two-character abbreviation (e.g., Missouri = MO) instead of the full name.
Return Address*

Street Address

Street Address Line 2

CityState

Zip Code
Device Brand*
i.e. Apple, Samsung, Google, etc.
Device Model*
I.e. iPhone14, Pixel 8, Galaxy S22, etc.
Device Color*
Device Repair Need*
Please describe what led to the need for this repair and the specific issues you're currently experiencing. Please provide as much detail as possible.*
Device Damage Image

This field is optional.
Cancelof

Payment Details*

Ship-in Repair Diagnostic FeeThis diagnostic fee for mail-in repairs will be applied as a credit toward your final repair costs. If we are unable to fix your device, the fee will cover the administrative tasks, labor, and diagnostic efforts involved in assessing the repair.

$35.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty: