Repair Service Form Repair Service Form (Website) We would love to hear from you! Please fill out this form and we will get in touch with you shortly. Date* Date Format: MM slash DD slash YYYY Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Email* System Manufacturer*System Model*System Serial Number*Operating System*Describe your problem to the best here...*The items you will be sending with your repair...* Laptop Power Adapter Memory Hard Drive How do you plan on delivering your laptop to us...* Pickup/Drop Off DHL FedEx UPS USPS How do you plan on having your laptop returned from us...* Pickup/Drop Off Business Account Billed (FedEx) FedEx UPS USPS If using an account for return, place the company and account number...If you have any additional information please list it here...*How did you find out about our company...*Terms of Service 1. Authorization The client authorizes James Howell to conduct an evaluation of the machine sent to determine the nature of the damage and provide an estimate of repair cost and timing. The evaluation is $50.00 and no work beyond this evaluation will be charged without explicit client approval, and will be rendered by email, by face to face meeting, or by telephone. If the system must be disassembled as part of the evaluation that carries a fee of $65.00 if the client refuses the repair service. The client authorizes James Howell, its employees, and agents, to receive and transport this media/equipment/data to, from, and between their facilities. 2. Legal Rights The client is the legal owner or authorized representative of the legal owner of the property and all data and components contained therein sent to James Howell. Any property left with James Howell unclaimed or unpaid in full for 30 days, will be disposed. At which time, James Howell shall have no liability to the client or any third party. 3. Limited Liability James Howell shall not be liable for any claims regarding the physical functioning of equipment/media or the condition or existence of data on storage media supplied before, during, or after service. In no event will James Howell be liable for any damage to the laptop, loss of data, loss of revenue or profits, or any special, incidental, contingent, or consequential damages, however caused, before, during or after service even if James Howell has been advised of the possibility of damages or loss to persons or property. James Howell’s liability of any kind with respect to the services, including any negligence on its part, shall be limited to the contract price for the services. The client and James Howell agree that the sole and exclusive remedy for unsatisfactory work or data shall be, at James Howell’s option, additional attempts by James Howell to repair the system or refund of the amount paid by the client minus any and all shipping fees. The parties acknowledge that the price of James Howell’s services would be much greater if James Howell undertook more extensive liability. The client is aware of the inherent risks of injury and property damage involved in laptop repair, including without limitation, risks due to destruction or damage to the machine, media, or data and inability to repair the machine or recover data, including those that may result from the negligence of James Howell, and assumes any and all known risks of injury and property damage that may results. 4. Confidentiality James Howell agrees not to disclose any and all information or data files supplied with, stored on, or recovered from client’s equipment except to employees or agents of James Howell subject to confidentiality agreements or as required by law. 5. Payment Payment is due in full upon completion of a successful repair, prior to release of the repaired machine (whether shipped, or picked up), unless by special previous arrangement. Successful is defined for purposes of this document by the pictorial proof of a functioning system or by acceptance of the system by the owner in a personal face to face meeting. The client is financially responsible for all shipping costs, custom duties, and taxes to and from James Howell. I accept personal check, business check, cashier’s check, money order, or cash on all repair services. 6. Warranty 30 days warranty on laptops that James Howell has repaired except reflows or software-based repairs. James Howell does not warranty systems received that have been repaired, evaluated, examined, or diagnosed by any other party other than James Howell. James Howell makes no warranty on data, express or implied, and James Howell disclaims any data warranty of any kind. 7. Agreement The parties shall submit all disputes relating to this Agreement (whether contract, tort or both) to arbitration, in accordance with the Rules of the American Arbitration Association. Either party may enforce the award of the arbitrator in a Court of competent jurisdiction. The parties understand that they are waiving their rights to a jury trial. The arbitration shall take place in the Country in which James Howell is performing the services is located and the laws of the State in which such laboratory is located shall apply.Have you read and understood all parts of the above terms of service outlined?* Yes, I have read the above terms of service form agreeing with all parts. Sign on the line to agree with the terms of service...*
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