ITS - Data Recovery Return Material Authorization Form.

RMA/Job# REQUEST FORM (RETURN MATERIAL AUTHORIZATION)

Please use this form to request a quote or an RMA/Job #.

Complete the form and we will e-mail you an RMA/Job number immediately.

Also you can use this form to request a quote.

The more information you provide us with the better we can serve you.

In any event a firm fixed quote will be provided before any data recovery attempt.

* = Required Information

*Please indicate the type of request:

Contact Information

Company Name:

*Name:

*Shipping Address:

*City:

*State/Province:

*Zip Code:

Country:

*Telephone:

Cell Phone/Pager #::

*E-Mail Address:

Alternative Contact Information

Name:

Shipping Address:

City:

State/Province:

Zip Code:

Country:

Telephone:

Cell Phone/Pager #:

E-Mail Address:

Payment Information

*Method of Payment:

Credit Card #:

Exp: (Not Required)

Name on Card:

Purchase Order #::

Technical Information

*Media Type:

*Amount of Data on Drive:

*Drive Capacity:

*Operating System:

OS Version:

Drive Manufacturer:

Drive Model:

Username:

Password:

# of Partitions:

Sizes:

*Has recovery been attempted by another party?:

*Has any utility or data recovery program been run?:

Describe any other data recovery attempts and or utilities run.

Describe the events leading up to the failure of your drive or the loss of your data.

What is the most important data? Please list the files or directories below.

How would you like your data returned:

*Please indicate type of data:

*How did you find our website?:

ITS - Data Recovery Specialist
9182 Independence Ave. Chatsworth Ca, California 91311

1-800-342-3475

RMA/Job# REQUEST FORM (RETURN MATERIAL AUTHORIZATION)