Computer Repair Form
Please complete this form to send in your Request, Once its been submitted an agent will get back with you for a scheduled pickup/drop off of the device.

Be aware that every repair will come with a ticket number which you can check online, This ticket is given to you by the agent, So be sure you provide your Email* for easy tracking.
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HOW MANY YE CD DO YOU WANT?
Todays Date
MM
/
DD
/
YYYY
Full Name *
Zip
City
State
E-mail
Phone Number #1 *
Phone Number #2
What type of Device?
choose if its a laptop,desktop, tablet, ect.
Do you have Important Files? *
Is your Device Locked with a password? or Log-in? *
If "Yes" Please provide us with the Information to unlock the device
User name, password, code,ect? if you dont know it, it will take longer to repair
The Issue
Describe The issue with the Device (computer,tablet,ect) Does it shut off automaticly? The more details the better.
Just a few Notes:
Make sure that you have any CDs or cables that came with the system at the time of turn in. Failure to turn in these items may results in delays of the repair. Imagine taking your ca in for service and not leaving the keys.
Things to Mention:
- Crashes or system Freezes
-Error Messages
-New Programs Installed
-New hardware (parts) that were added or installed
-Anything you may have tried to repair the problem already.
Terms and Agreement
*Silvermyst does not accept responsibility for backup any data or installed software applications that may be on my computers hard drive. Unless requested.
*when I drop off my computer, a Silvermyst agent will give me an estimate of when the repair or maintenance will be finished. If this estimate changes, the technician will notify me at the phone numbers listed or E-mail provided.
*When I pickup my computer, I will make an effort that I also pickup all peripheral devices and media, and will not hold Silvermyst responsible for the subsequent loss of any items that may left behind.
*I will pay upfront for the full price of the invoice or arrange payments. I am aware that I will not receive my item back until the payments are fully complete and closed.
*I am aware that due to space limitations, I am required to pickup my equipment promptly. Equipment left after the 60 day period will become excess and will be discarded accordingly. Equipment not pick up up the 60 days will be considered abandoned and will be discarded.

I have read and confirmed the Information *
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