Data
Recovery USA Inc. |
“Submission
Form” Please Take time to fill
these forms out as thoroughly as possible. The more information we have the
more chance there is we will recover your data. |
Shipping Information: Data Recovery USA Inc. Toll Free: 1-877-230-3282 Fax: 1-954-337-0429 |
||||
Client Contact Information |
||||||
Company Name: |
Contact Name: |
Contact Position: |
||||
Return Shipping Address: |
Phone: |
|||||
Cellular Phone: |
||||||
Fax: |
||||||
E-mail: |
||||||
Recovery technician with whom you spoke: |
Work Order: |
|||||
General Recovery Information |
||||||
Media/File Type: |
Operating System: |
File System: |
||||
Manufacturer: |
Storage Capacity: |
Estimated amount of data to be recovered: |
||||
Please list the most important data, files or types of files to be recovered:
|
How would
you prefer your data returned to you: (size
limitations do apply) Via
FTP______ CD_______ DVD_______ Client supplied______ Purchase
a Hard Drive Thru Data Recovery USA_________ (contact DRUSA for pricing) External
USB/Firewire ______ /
Internal IDE _______ |
|||||
Please give a brief description of the events leading up to your data loss: |
||||||
Payment
Methods and Quote Information |
|||
Credit Card Type: |
Credit card Number: |
Exp. Date: |
|
Name and Billing address on Card:
|
Price Quoted for Recovery/Repair: |
||
NDA, Terms and Conditions |
|||
Client Authorization: 1) The client hereby gives full authorization to Data Recovery USA Inc.,
its employees and agents to evaluate, receive
and transfer any applicable Media, data or equipment to, from and between
any of their laboratories and affiliates. 2) The client gives permission to Data Recovery USA Inc. to perform an evaluation of the data
loss in order to give a more accurate quote. |
|||
Limited Liability: 1)
Data Recovery USA Inc. makes no guarantee that data recovery will be successful. 2) Data Recovery USA Inc. will not be held responsible for
any damage due to shipping or transfer of equipment. 3) Data Recovery USA Inc. will not be responsibility for damage to data
or equipment during the recovery process. 4) Data Recovery USA Inc. will not be held responsible for any loss of
revenue, time, data loss, or equipment damage. The client understands
this is a risk of the data recovery process. |
|||
Legal Rights: 1) The client shall maintain sole ownership over any data and equipment sent
to Data Recovery USA Inc. 2) Data Recovery USA Inc. agrees to an absolute non-disclosure agreement
on every recovery case. |
|||
Limited Data Warranty:
1) Data Recovery USA Inc. will hold recovered data for a period of 10
days after providing the client with a copy of the recovered data. 2) Should the data arrive damaged due to shipping Data Recovery USA Inc.
will provide a new copy of the working data if alerted within the stated
10 Days. 3) All data will be destroyed after 10 days for client security. 4)
Any
equipment unclaimed for 30 days will be disposed of after an attempt to
contact the client is made. |
|||
Shipping: 1)
All shipping costs are the responsibility of the client regardless of
the status of the recovery. |
|||
Payment: 1) Full payment is due upon completion of a successful recovery. 2) Any evaluation fees will be paid prior to the evaluation being preformed. 3) If we are successful recovering your data you must pay us in full.
4)
If the recovery is successful and the client cancels the recovery there
will be a cancellation fee of %15 of the quoted job cost. 5) Data Recovery USA Inc. accepts Visa, |
|||
Data Guarantee: 1) Your recovery comes with a data guarantee. 2) If your recovery is not as promised Data Recovery USA Inc. will do
everything in our power to rectify the recovery in question or we will
provide a full or partial refund if notified within 10 Days. |
|||
Approved By (please
print)_______________________ Date___-___-____ Card Holder
Signature: X______________________________ |
|||