Contact Information
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| Company Name: |
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| *Phone: |
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| *Shipping Address: |
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| *E-Mail Address: |
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Technical Information
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| *Media Type: |
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| If Other Please Specify: |
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| *Operating System: |
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| If Other, Please Specify: |
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| Number of Partitions: |
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| Problem Description: |
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Files & Folders
to be Recovered: |
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| Budget: |
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To help us work within your budget, what is the maximum amount that you wish us to work within? Typically, an external hard drive recovery can be anywhere between $500 & $2500. |
| Service Priority: |
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| Referred By: |
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| Referral Details: |
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| IP Address: |
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