Part A: Client Information

 Company Name:  ______________________________________             Telephone: ________________________

 Person of Contact:  ____________________________________    Cellular or Pager:_________________________

 Complete Address: ____________________________________                         Fax: _________________________

 City, State, Zip: _______________________________________                    E-mail: _________________________

 Part B: Media Information

 Hard Drive Mfg:_______________________ Model _______________  Serial# _______________  Size ________

 Other Media:  Floppy_______     Zip_______      Jazz_______     Other____________________________________

 Operating System: Dos ___.____(Windows 95 / 98 / NT)(fat16 / fat32 / NTFS)(Novell)(Unix)Other  ____________

 Partition Data:   ______________________________________________________________________________

 Compression:    ______________________________________________________________________________

 Passwords: _________________________________________________________________________________

 Media:*    Original  ______    Copy _______     *(Best results obtained from original).

 Are backups available:     Yes_____    No_____

 Circumstances Leading to drive failure: ____________________________________________________________

 __________________________________________________________________________________________

 What methods (if any) were used to try to recover data? _______________________________________________

 __________________________________________________________________________________________

 EXACTLY what needs to be recovered?

 Program(s)  _________________________________________________________________________________

 Directory(ies)  _______________________________________________________________________________

 File(s) _____________________________________________________________________________________

 File Extensions  ______________________________________________________________________________

 How should we return your data?

 Zip______,    Jazz______,    Floppy______,    CD______,    New Drive______,    Other _______________________


 At this point your media is warranty safe since we are only performing a free diagnostic evaluation.We will not break
 any manufacturer warranty seals without first notifying and receiving customer approval.  Indicate your preference below.

 We may have to open your drive for inspection. This MAY void the warranty. (Proceed): Yes ________   No________




 Part C:  SDCom [and] Data Recovery Customers  -  Service Agreement.

 SDCom will perform a FREE diagnostic evaluation for client and no billable work will be done without  first  receiving the
 customers  approval  of  the estimate given by  SDCom to recover any lost  data  from  customer  supplied media. Under
 no circumstances will  SDCom disclose any customer  information of  data  supplied  with,  stored on, or recovered from
 the customer's media.Data and media devices are and shall remain property of the customer unless  left  after 30  days of
 notification of completion or  refusal  to pay  after  approval  of  estimate  is  given  by customer to perform data recovery
 services unless previously arranged by customer directly with SDCom. All Hardware Media left over 30 days after notice
 of completion  will  be considered abandoned and shall become the property of  SDCom unless previously arranged. Full
 payment  is  due upon  completion of  work before  recovered data is returned to customer unless previously arranged by
 customer directly with SDCom.Customer warrants and Represents to SDCom that customer has owner rights and/or has
 the  right to be in possession of all equipment and data furnished to SDCom and will  defend at  its expense,  such  claims
 against SDCom. SDCom shall  not  be  liable  for  any  damages,  and  will  have  no  liability  for  any claim from customer
 or third party, directly or indirectly that equipment or data was damaged or rendered unusable during or after service with
 SDCom. Data Recovery Customers further acknowledge that the storage media and/or data provided to SDCom is
 in a damaged and/or non-readable condition
. Customer further agrees to hold  SDCom harmless for any further damages
 caused by the evaluation and/or recovery process.



 Customer Name:        ________________________________________________________
                                                                                       (Print)

 Customer Signature: ________________________________________________________
                                                                                       (Sign)

 Date:                                                     __________________________
                                                                                 (Today's Date)
 


 Ship your media to:

 SDCom
 Data Recovery Services
 8282 Miramar Road
 San Diego, CA 92126

 Phone: 1-USrecovery (Toll Free)
 Phone: (858) 537-3737 (Local Calls)
 Fax....: (858) 537-3739
 Email:
 

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