PC/Laptop Registration form

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Owner's Name *

Contact Number *

Email Address *

Computer Model

At least the brand and number

Home Address

Please note if the machine is required to be delivered to you

Description of Problem *

Please try to note any unusual sounds or temperature increases experienced recently. Recent software and hardware changes need to be noted.

Operating configuration - Operating System, important software, required hardware configuration.

As much detail as possible will allow us return your system to you in the most suitable format.

Please read the following items, and tick to indicate you have understood them individually *

I accept that due to hardware errors or filesystem corruption, it is possible that the information on my computer may not be retrievable

I assert that all software required to be re-installed on my computer is legally licensed to me on this computer, and that I have produced the required disks and license keys where applicable to permit reinstallation.

I assert that my computer is no longer under manufacturer warranty - please let us know if it is! It gives you more options.

Normally we take a full backup of your computer as we receive it, and keep this backup for 30 days. Please tick this box if you would prefer we do not do so.

(If you ticked box 4 above) I realise that documents I cannot find when I receive my computer back can no longer be retrieved from the reinstalled system.

I assert that apart from the problems described above, the computer was to the best of my knowledge working well.

Required

Optional Service

Please note that the cost of items involving your data may vary depending on the medium required to store that data.

I would like to receive a copy of the "as received" backup of my computer

I would like to receive a copy of a "freshly installed" backup of my computer

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This form was created inside of Distance Earning.