Laptop Repair Request Form Please carefully complete the form below. Please print a copy of this form and include one copy with your laptop when your ship it to us for repair. PLEASE READ Please use this laptop repair request form only if you are mailing your laptop to us for repair. If you have questions about laptop parts or repair prior to submitting your request, use our contact form or call us, 1-973-415-8349. NOTE: If you have an International unit, please inform us. Parts availability is limited for International units and therefore may not be repairable. CONTACT INFORMATION * denotes required field Pete the Computer Geek currently ships to U.S. destinations only. Company: Name *: Street Address*: City, State, Zip Code *: Day time phone number *: Your e-mail address will also be used for repair status correspondence. We will never share/sell your information: Email Address *: Retype Email Address *: LAPTOP INFORMATION Laptop Brand *: Laptop Model *: Laptop Serial Number: Is your laptop an international (non-US) model? Login/Passwords Please provide any System or Windows login/password information required to access your laptop operating system. PROBLEM DESCRIPTION * Please provide a detailed problem description. Error numbers and Error descriptions are extremely helpful in determining the problem. If possible, please include detailed step by step instructions to replicate the problem. Date Laptop Purchased: ADDITIONAL UPGRADES In addition to your primary repair service, if you would like a quote on additional upgrades to your laptop, please select from the list below. CDRW Drive DVD Drive DVD CDRW Combo Drive Hard Drive Upgrade Memory Upgrade Keyboard Replacement Operating System Upgrade ADDITIONAL ITEMS SHIPPED WITH YOUR LAPTOP Please include your AC Adapter and Power Cord with your laptop to avoid possible delays in your repair. It is also helpful to include an additional battery if you have one. Please select any other items being shipped with your laptop. AC Adapter and Power Cord Battery External CD-ROM / DVD External Floppy Drive Drive External Hard Drive Carrying Case Software/Restore CD (required if you want us to restore your OS or other software) Additional items not listed above: WARRANTY AND LIABILITY STATEMENTS Please check each statement below confirming that you agree to the terms and conditions set forth for any repairs performed by Pete the Computer Geek. *. I understand Pete the Computer Geek is not responsible for any software or data lost on my hard drive. I am responsible for backing up the data on the hard drive prior to shipping the unit to Pete the Computer Geek for repair. I understand that Pete the Computer Geek is not responsible for keeping or returning defective parts that are replaced as part of the repair unless specifically requested by the customer prior to acceptance of our repair estimate. I understand Pete the Computer Geek is not responsible for any damage caused to my laptop during shipping to AND from our location. I understand that Pete the Computer Geek will insure my laptop for $999.00 during return shipment and if additional insurance is desired, I am responsible for notifying Pete the Computer Geek and covering the additional insurance expense. Enclose a check or money order for $35. This money is used for shipping your laptop back to you. The check or money order must be made out to: "Pete the Computer Geek". If a check or money order is not included we will call you & ask for your credit card information. We will need some form of payment to get your laptop back to you. Pack your notebook. Laptop boxes can be obtained at your local FedEx. We highly recommend using one of these. If you don't ship with a laptop box, then PLEASE, PLEASE bubbles wrap your laptop & then add foam packing peanuts. WARNING: If your laptop is not packed properly, we will not even look at it. Please include your ac adapter or power cord as well as a copy of the form you filled out. Ship your notebook to: Pete the Computer Geek Laptop Service 16 Belleville Avenue Bloomfield, NJ 07003 You're really done with your part. Now you just wait for a call back from one of our laptop repair technicians. We should call you back within two days of receiving your laptop. Sometimes it does takes up to two days just to find out what is causing the problem with your computer. But, you have my word; we will find the cause of your problem. Once we have found the cause, we'll call back with an estimate for repair and gather all of the final information that we need. Pending your verbal approval via phone, we will complete the repairs and send your notebook back to you. It's that easy. Thank you for your business!
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