MEGA DATA RECOVERY  - ONLINE FORM  Back to Website

Before you ship your media/device to us, please complete and print this form and include a copy of it with your shipment to: MEGA DATA RECOVERY, 76, Eltham Green Road, London, SE9 6BH, United Kingdom.
Name*
Surname*
Address*
Postal Code
Town/City
Country
Telephone
Fax
Mobile Phone
e-mail

Please describe clearly FAULT:

DATA TO RECOVER: 

TYPE OF SERVICE:


  EXPRESS SERVICE        NORMAL SERVICE

Media Information:
Media Type: Media Capacity:

Manufacturer: Model Number:    

Operating System:
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I agree to allow MDR to perform the data recovery process on my media/device. MDR is not responsible for any damage during shipment and data recovery process. Manufacturer warranty may be void. MDR is not responsible for any equipment left after 30 days.  MDR reserves the right to transfer the media to company's other National/International facilities if needed. Please sign to accept Terms and Condition, and send with defect media.  I hereby certify that I am 18 or above and all data submitted are true to the best of my knowledge. Please sign to accept Terms and Conditions, and after completing this form, print  and include a copy of it with your shipment to: MEGA DATA RECOVERY, 76, Eltham Green Road, London, SE9 6BH, United Kingdom.


Your Signature:  ------------------------------------------------------------------------------
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