Mail-In Repair Form
This Form Should Be Printed Out & Placed On The Inside of the Box.
Email address *
Customer Name
Your answer
Phone Number *
Your answer
Street Address *
Your answer
City / State / Zip *
Your answer
Preferred Contact Method
Phone Call
Text (SMS)
Email
Please Select One
How Did You Hear About Us?
Google
Yelp
Facebook
Bing
Yahoo
Other
Please Select One
Device Information
iPhone
Samsung Phone
iPad
Kindle
Other Tablet
Other Phone
Desktop
Laptop
Game Console
Digital Camera
Printer
Other:
What Kind Of Device Are You Having Repaired?
Device Model (Model Number)
Your answer
Color
Your answer
Carrier
Your answer
Serial Number
Your answer
Password (So We Can Test Device)
Your answer
Repair Price Quotation
Estimated Repair Price (leave blank if unsure)
Your answer
Initials (for the rest. repair price) *
Your answer
FastFixCell Repair 1175 Broad St. Shrewsbury, NJ 07702
DISCLAIMER:
My signature indicated that I give ​FastFixCell Repairs​ permission to service my device.
I agree that I am responsible for all fees once the services begin, and will make the payment before the device is shipped back, or picked up in-store. If the fees exceed the estimate, a verbal authorization will suffice as my agreement to the additional fees and to proceed with the services. Additionally, I understand that FastFixCell Repair will make every effort to restore my devices condition, and is not liable for unforeseeable damages, any data stored on the phone, or claims of damages.
LIQUID DAMAGE
I understand there is no guarantee for liquid treatment phones. I agree to pay $25.00, or leave my phone as payment for FastFixCell Repairs time and labor if the phone is unrepairable.
Signature *
Your answer
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