Tech Kangaroo_Dev_One Smart Form

Full Name

First NameLast Name

Mobile Number

Please enter a valid phone number.Format: (000) 000-0000.

Other Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

Confirmation Emailexample@example.com

How did you hear about us?

Repair For

Company Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Describe the issues or what happened to your device.

0/254

Device Type

Device Make

Device Model

Device Model (iPhone)

Repair Item (iPhone 16 Pro Max)

Quantity (16 Pro Max)

Subtotal(16 Pro Max)

Repair Item (iPhone 15 Pro Max)

Quantity (15 Pro Max)

Subtotal(15 Pro Max)

Repair Item (iPhone 16 Pro)

Quantity (16 Pro)

Subtotal(16 Pro)

Repair Item (iPhone 16 Plus)

Quantity (16 Plus)

Subtotal(16 Plus)

Repair Item (iPhone 16)

Quantity (16)

Subtotal(16)

Repair Item (iPhone 15 Pro)

Quantity (15 Pro)

Subtotal(15 Pro)

Repair Item (iPhone 15 Plus)

Quantity (15 Plus)

Subtotal(15 Plus)

Repair Item (iPhone 15)

Quantity (15)

Subtotal(15)

Repair Item (iPhone 14 Pro Max)

Quantity (14 Pro Max)

Subtotal(14 Pro Max)

Repair Item (iPhone 14 Pro)

Quantity (14 Pro)

Subtotal(14 Pro)

Repair Item (iPhone 14 Plus)

Quantity (14 Plus)

Subtotal(14 Plus)

Repair Item (iPhone 14)

Quantity (14)

Subtotal(14)

Repair Item (iPhone 13 Pro Max)

Quantity (13 Pro Max)

Subtotal(13 Pro Max)

Repair Item (iPhone 13 Pro)

Quantity (13 Pro)

Subtotal(13 Pro)

Repair Item (iPhone 13 Mini)

Quantity (13 Mini)

Subtotal(13 Mini)

Repair Item (iPhone 13)

Quantity (13)

Subtotal(13)

Repair Item (iPhone 12 Pro Max)

Quantity (12 Pro Max)

Subtotal(12 Pro Max)

Repair Item (iPhone 12 Pro)

Quantity (12 Pro)

Subtotal(12 Pro)

Repair Item (iPhone 12 Mini)

Quantity (12 Mini)

Subtotal(12 Mini)

Repair Item (iPhone 12)

Quantity (12)

Subtotal(12)

Repair Item (iPhone 11 Pro Max)

Quantity (11 Pro Max)

Subtotal(11 Pro Max)

Repair Item (iPhone 11 Pro)

Quantity (11 Pro)

Subtotal(11 Pro)

Repair Item (iPhone 11)

Quantity (11)

Subtotal(11)

Repair Item (iPhone XS Max)

Quantity (XS Max)

Subtotal(XS Max)

Repair Item (iPhone XS)

Quantity (XS)

Subtotal(XS)

Repair Item (iPhone XR)

Quantity (XR)

Subtotal(XR)

Repair Item (iPhone X)

Quantity (X)

Subtotal(X)

Repair Item (iPhone SE (3rd Gen))

Quantity (SE (3rd Gen))

Subtotal(SE (3rd Gen))

Repair Item (iPhone SE (2nd Gen))

Quantity (SE (2nd Gen))

Subtotal(SE (2nd Gen))

Repair Item (iPhone 8 Plus)

Quantity (8 Plus)

Subtotal(8 Plus)

Repair Item (iPhone 8)

Quantity (8)

Subtotal(8)

Device Model (iPad)

Device Model (Apple Watch)

Device Model (MacBook)

Repair Item (iPad 9th 2021 10.2")

Quantity (iPad 9th 2021 10.2")

Subtotal (iPad 9th 2021 10.2")

Repair Item (iPad 6th 2018 9.7")

Quantity (iPad 6th 2018 9.7")

Subtotal (iPad 6th 2018 9.7")

Repair Item (iPad 8th 2020 10.2")

Quantity (iPad 8th 2020 10.2")

Subtotal (iPad 8th 2020 10.2")

Repair Item (iPad 7th 2019 10.2")

Quantity (iPad 7th 2019 10.2")

Subtotal (iPad 7th 2019 10.2")

Repair Item (iPad 5th 2017 9.7")

Quantity (iPad 5th 2017 9.7")

Subtotal (iPad 5th 2017 9.7")

Repair Item (iPad Air 2)

Quantity (iPad Air 2)

Subtotal (iPad Air 2)

Repair Item (iPad Air 1)

Quantity (iPad Air 1)

Subtotal (iPad Air 1)

Repair Item (iPad Air (4th generation) (2020))

Quantity (iPad Air (4th generation) (2020))

Subtotal (iPad Air (4th generation) (2020))

Repair Item (iPad 10th (2022) 10.9")

Quantity (iPad 10th (2022) 10.9")

Subtotal (iPad 10th (2022) 10.9")

Repair Item (iPad Pro (9.7-inch) (2016))

Quantity (iPad Pro (9.7-inch) (2016))

Subtotal (iPad Pro (9.7-inch) (2016))

Repair Item (iPad Pro (10.5-inch) (2017))

Quantity (iPad Pro (10.5-inch) (2017))

Subtotal (iPad Pro (10.5-inch) (2017))

Repair Item (iPad Mini 2)

Quantity (iPad Mini 2)

Subtotal (iPad Mini 2)

Repair Item (iPad Pro 11-inch (3rd generation) (2021))

Quantity (iPad Pro 11-inch (3rd generation) (2021))

Subtotal (iPad Pro 11-inch (3rd generation) (2021))

Repair Item (iPad Pro 12.9-inch (3rd generation) (2018))

Quantity (iPad Pro 12.9-inch (3rd generation) (2018))

Subtotal (iPad Pro 12.9-inch (3rd generation) (2018))

Repair Item (iPad Mini 4)

Quantity (iPad Mini 4)

Subtotal (iPad Mini 4)

Repair Item (iPad Air (3rd generation) (2019))

Quantity (iPad Air (3rd generation) (2019))

Subtotal (iPad Air (3rd generation) (2019))

Repair Item (iPad Air (5th generation) (2022))

Quantity (iPad Air (5th generation) (2022))

Subtotal (iPad Air (5th generation) (2022))

Repair Item (iPad Pro (12.9-inch) (2015))

Quantity (iPad Pro (12.9-inch) (2015))

Subtotal (iPad Pro (12.9-inch) (2015))

Repair Item (iPad Pro 11-inch (1st generation) (2018))

Quantity (iPad Pro 11-inch (1st generation) (2018))

Subtotal (iPad Pro 11-inch (1st generation) (2018))

Repair Item (iPad Pro 12.9-inch (4th generation) (2020))

Quantity (iPad Pro 12.9-inch (4th generation) (2020))

Subtotal (iPad Pro 12.9-inch (4th generation) (2020))

Repair Item (iPad Pro 11-inch (2nd generation) (2020))

Quantity (iPad Pro 11-inch (2nd generation) (2020))

Subtotal (iPad Pro 11-inch (2nd generation) (2020))

Repair Item (iPad Mini 5)

Quantity (iPad Mini 5)

Subtotal (iPad Mini 5)

Repair Item (iPad Pro 12.9-inch (5th generation) (2021))

Quantity (iPad Pro 12.9-inch (5th generation) (2021))

Subtotal (iPad Pro 12.9-inch (5th generation) (2021))

Repair Item (iPad Pro 12.9-inch (2nd generation) (2017))

Quantity (iPad Pro 12.9-inch (2nd generation) (2017))

Subtotal (iPad Pro 12.9-inch (2nd generation) (2017))

Repair Item (iPad Air 11-inch (M2) (2024))

Quantity (iPad Air 11-inch (M2) (2024))

Subtotal (iPad Air 11-inch (M2) (2024))

Repair Item (iPad 4)

Quantity (iPad 4)

Subtotal (iPad 4)

Repair Item (iPad Mini 1)

Quantity (iPad Mini 1)

Subtotal (iPad Mini 1)

Repair Item (iPad 11th A16 (2025) 10.9")

Quantity (iPad 11th A16 (2025) 10.9")

Subtotal (iPad 11th A16 (2025) 10.9")

Repair Item (iPad Pro 11-inch (4th generation) (2022))

Quantity (iPad Pro 11-inch (4th generation) (2022))

Subtotal (iPad Pro 11-inch (4th generation) (2022))

Repair Item (iPad Pro 12.9-inch (6th generation) (2022))

Quantity (iPad Pro 12.9-inch (6th generation) (2022))

Subtotal (iPad Pro 12.9-inch (6th generation) (2022))

Repair Item (iPad Mini 6 (2021))

Quantity (iPad Mini 6 (2021))

Subtotal (iPad Mini 6 (2021))

Repair Item (iPad (A16) (2025))

Quantity (iPad (A16) (2025))

Subtotal (iPad (A16) (2025))

Repair Item (iPad mini (A17 Pro) (2024))

Quantity (iPad mini (A17 Pro) (2024))

Subtotal (iPad mini (A17 Pro) (2024))

Repair Item (iPad Air 13-inch (M2) (2024))

Quantity (iPad Air 13-inch (M2) (2024))

Subtotal (iPad Air 13-inch (M2) (2024))

Repair Item (iPad Air 11-inch (M3) (2025))

Quantity (iPad Air 11-inch (M3) (2025))

Subtotal (iPad Air 11-inch (M3) (2025))

Repair Item (iPad Air 13-inch (M3) (2025))

Quantity (iPad Air 13-inch (M3) (2025))

Subtotal (iPad Air 13-inch (M3) (2025))

Repair Item (iPad Pro 11-inch (M4) (2024))

Quantity (iPad Pro 11-inch (M4) (2024))

Subtotal (iPad Pro 11-inch (M4) (2024))

Repair Item (iPad Pro 13-inch (M4) (2024))

Quantity (iPad Pro 13-inch (M4) (2024))

Subtotal (iPad Pro 13-inch (M4) (2024))

Repair Item (iPad Mini 3)

Quantity (iPad Mini 3)

Subtotal (iPad Mini 3)

Repair Item (iPad 3)

Quantity (iPad 3)

Subtotal (iPad 3)

Repair Item (iPad 2)

Quantity (iPad 2)

Subtotal (iPad 2)

Repair Item (Watch 6 44MM)

Quantity (Watch 6 44MM)

Subtotal (Watch 6 44MM)

Repair Item (Watch 3 42MM)

Quantity (Watch 3 42MM)

Subtotal (Watch 3 42MM)

Repair Item (Watch 7 45MM)

Quantity (Watch 7 45MM)

Subtotal (Watch 7 45MM)

Repair Item (Watch 2 42MM)

Quantity (Watch 2 42MM)

Subtotal (Watch 2 42MM)

Repair Item (Watch Ultra 2 49MM)

Quantity (Watch Ultra 2 49MM)

Subtotal (Watch Ultra 2 49MM)

Repair Item (Watch SE 2 / 2nd Gen 40MM)

Quantity (Watch SE 2 / 2nd Gen 40MM)

Subtotal (Watch SE 2 / 2nd Gen 40MM)

Repair Item (Watch 4 44MM)

Quantity (Watch 4 44MM)

Subtotal (Watch 4 44MM)

Repair Item (Watch 3 38MM)

Quantity (Watch 3 38MM)

Subtotal (Watch 3 38MM)

Repair Item (Watch 2 38MM)

Quantity (Watch 2 38MM)

Subtotal (Watch 2 38MM)

Repair Item (Watch Ultra 1 49MM)

Quantity (Watch Ultra 1 49MM)

Subtotal (Watch Ultra 1 49MM)

Repair Item (Watch 6 40MM)

Quantity (Watch 6 40MM)

Subtotal (Watch 6 40MM)

Repair Item (Watch SE 44MM)

Quantity (Watch SE 44MM)

Subtotal (Watch SE 44MM)

Repair Item (Watch SE 40MM)

Quantity (Watch SE 40MM)

Subtotal (Watch SE 40MM)

Repair Item (Watch 5 40MM)

Quantity (Watch 5 40MM)

Subtotal (Watch 5 40MM)

Repair Item (Watch 4 40MM)

Quantity (Watch 4 40MM)

Subtotal (Watch 4 40MM)

Repair Item (Watch 10 46MM)

Quantity (Watch 10 46MM)

Subtotal (Watch 10 46MM)

Repair Item (Watch 10 42MM)

Quantity (Watch 10 42MM)

Subtotal (Watch 10 42MM)

Repair Item (Watch 9 45MM)

Quantity (Watch 9 45MM)

Subtotal (Watch 9 45MM)

Repair Item (Watch 9 41MM)

Quantity (Watch 9 41MM)

Subtotal (Watch 9 41MM)

Repair Item (Watch SE 2 / 2nd Gen 44MM)

Quantity (Watch SE 2 / 2nd Gen 44MM)

Subtotal (Watch SE 2 / 2nd Gen 44MM)

Repair Item (Watch 8 41MM)

Quantity (Watch 8 41MM)

Subtotal (Watch 8 41MM)

Repair Item (Watch 8 45MM)

Quantity (Watch 8 45MM)

Subtotal (Watch 8 45MM)

Repair Item (Watch 7 41MM)

Quantity (Watch 7 41MM)

Subtotal (Watch 7 41MM)

Repair Item (Watch 5 44MM)

Quantity (Watch 5 44MM)

Subtotal (Watch 5 44MM)

Repair Item (Watch 1 42MM)

Quantity (Watch 1 42MM)

Subtotal (Watch 1 42MM)

Repair Item (Watch 1 38MM)

Quantity (Watch 1 38MM)

Subtotal (Watch 1 38MM)

Repair Item (MacBook Air M1 Chip 13" (A2337))

Quantity (MacBook Air M1 Chip 13" (A2337))

Subtotal (MacBook Air M1 Chip 13" (A2337))

Repair Item (MacBook Pro M1 Chip 13" (A2338))

Quantity (MacBook Pro M1 Chip 13" (A2338))

Subtotal (MacBook Pro M1 Chip 13" (A2338))

Repair Item (MacBook Air 13" (A1466))

Quantity (MacBook Air 13" (A1466))

Subtotal (MacBook Air 13" (A1466))

Repair Item (MacBook Air M2 Chip 13" (A2681))

Quantity (MacBook Air M2 Chip 13" (A2681))

Subtotal (MacBook Air M2 Chip 13" (A2681))

Repair Item (MacBook Pro 13" (A1502))

Quantity (MacBook Pro 13" (A1502))

Subtotal (MacBook Pro 13" (A1502))

Repair Item (MacBook Air 13" (A1932))

Quantity (MacBook Air 13" (A1932))

Subtotal (MacBook Air 13" (A1932))

Repair Item (MacBook Air 13" (A2179))

Quantity (MacBook Air 13" (A2179))

Subtotal (MacBook Air 13" (A2179))

Repair Item (MacBook Pro 15" (A1398))

Quantity (MacBook Pro 15" (A1398))

Subtotal (MacBook Pro 15" (A1398))

Repair Item (MacBook Pro 16" (A2141))

Quantity (MacBook Pro 16" (A2141))

Subtotal (MacBook Pro 16" (A2141))

Repair Item (MacBook Pro 13" (A2159))

Quantity (MacBook Pro 13" (A2159))

Subtotal (MacBook Pro 13" (A2159))

Repair Item (MacBook Air 11" (A1465))

Quantity (MacBook Air 11" (A1465))

Subtotal (MacBook Air 11" (A1465))

Repair Item (MacBook Pro 13" (A1989))

Quantity (MacBook Pro 13" (A1989))

Subtotal (MacBook Pro 13" (A1989))

Repair Item (MacBook Pro 14" M4 2024 (A3112 & A3401 & A3185))

Quantity (MacBook Pro 14" M4 2024 (A3112 & A3401 & A3185))

Subtotal (MacBook Pro 14" M4 2024 (A3112 & A3401 & A3185))

Repair Item (MacBook Pro 13" A1706)

Quantity (MacBook Pro 13" A1706)

Subtotal (MacBook Pro 13" A1706)

Repair Item (MacBook Pro 13" A1708)

Quantity (MacBook Pro 13" A1708)

Subtotal (MacBook Pro 13" A1708)

Repair Item (MacBook Pro 13" (A1278))

Quantity (MacBook Pro 13" (A1278))

Subtotal (MacBook Pro 13" (A1278))

Repair Item (MacBook Air 13" 2024 (A3113))

Quantity (MacBook Air 13" 2024 (A3113))

Subtotal (MacBook Air 13" 2024 (A3113))

Repair Item (MacBook Air 15" 2022 (A2941))

Quantity (MacBook Air 15" 2022 (A2941))

Subtotal (MacBook Air 15" 2022 (A2941))

Repair Item (MacBook Pro 15" (A1990))

Quantity (MacBook Pro 15" (A1990))

Subtotal (MacBook Pro 15" (A1990))

Repair Item (MacBook Pro 15" (A1707))

Quantity (MacBook Pro 15" (A1707))

Subtotal (MacBook Pro 15" (A1707))

Repair Item (MacBook Pro 13" (A2289))

Quantity (MacBook Pro 13" (A2289))

Subtotal (MacBook Pro 13" (A2289))

Repair Item (MacBook Pro 16" M4 Pro 2024 (A3403))

Quantity (MacBook Pro 16" M4 Pro 2024 (A3403))

Subtotal (MacBook Pro 16" M4 Pro 2024 (A3403))

Repair Item (MacBook Pro 16" M4 2024 (A3186))

Quantity (MacBook Pro 16" M4 2024 (A3186))

Subtotal (MacBook Pro 16" M4 2024 (A3186))

Repair Item (MacBook Air 15" M4 2025 (A3241))

Quantity (MacBook Air 15" M4 2025 (A3241))

Subtotal (MacBook Air 15" M4 2025 (A3241))

Repair Item (MacBook Air 13" M4 2025 (A3240))

Quantity (MacBook Air 13" M4 2025 (A3240))

Subtotal (MacBook Air 13" M4 2025 (A3240))

Repair Item (MacBook Air 15" 2024 (A3114))

Quantity (MacBook Air 15" 2024 (A3114))

Subtotal (MacBook Air 15" 2024 (A3114))

Repair Item (MacBook Pro 14" (A2442 & A2779 & A2918 & A2992))

Quantity (MacBook Pro 14" (A2442 & A2779 & A2918 & A2992))

Subtotal (MacBook Pro 14" (A2442 & A2779 & A2918 & A2992))

Repair Item (MacBook Pro 16" (A2485 & A2780 & A2991))

Quantity (MacBook Pro 16" (A2485 & A2780 & A2991))

Subtotal (MacBook Pro 16" (A2485 & A2780 & A2991))

Repair Item (MacBook Pro 13" (A2251))

Quantity (MacBook Pro 13" (A2251))

Subtotal (MacBook Pro 13" (A2251))

Repair Item (MacBook 12" (A1534))

Quantity (MacBook 12" (A1534))

Subtotal (MacBook 12" (A1534))

Repair Item (MacBook Pro 13" (A1425))

Quantity (MacBook Pro 13" (A1425))

Subtotal (MacBook Pro 13" (A1425))

Repair Item (MacBook Air 11" (A1370))

Quantity (MacBook Air 11" (A1370))

Subtotal (MacBook Air 11" (A1370))

Repair Item (MacBook Air 13" (A1369))

Quantity (MacBook Air 13" (A1369))

Subtotal (MacBook Air 13" (A1369))

Repair Item (MacBook Pro 17" (A1297))

Quantity (MacBook Pro 17" (A1297))

Subtotal (MacBook Pro 17" (A1297))

Repair Item (MacBook Pro 15" (A1286))

Quantity (MacBook Pro 15" (A1286))

Subtotal (MacBook Pro 15" (A1286))

Service Priority

Service

Diagnosis & Assessment

Total Price

Payment Amount

AUDDescription

Square Secure Payment Methods

Credit Card

Apple Pay

Afterpay

How would you like to get your device to us?

Patterson Lakes Drop-Off Appointment

Melbourne CBD Drop-Off Appointment

Camberwell Drop-Off Appointment

Contact Details

Device & Repair Details

Payment Amount

Square Secure Payment Methods

Delivery & Drop-Off