Geeksnerds Web Design, IT Support, Data Recovery

Geeksnerds Limited

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First Name:*

Last Name:*

Company Name:

Phone Number:*

Cell Number:

Fax:

Email:*

Address:

City:

Postal Code:

Country:

State:

Services Required

Type of website :

If not listed please mention here :

Date when website is required :

Do you want to sell product/services online?

Do you need to take Credit Card Payments?

If selling online, how many items will you offer? :

No. of Web Pages Required:

Is Website Hosting Required?

Do you need a logo?

Do you need a Graphical Header?

Do you have the Digital Images you require?

Approx. no. of Images Required :

Is your Site Content Prepared?

Writing of Copy Required?

Do you need an Enquiry Form?

Media Type

Manufacturer :

Model No :

Date of Manufacturer:

Capacity:

Operating System:

File System:

Compressed

Compression Ratio:

Is The Drive Detected in System Bios

Is The Drive Spinning:

Previous Recovery Made:

Drive Opened

Any Unsual Noise From The Hard Drive

What Message Appears when Hooked up

Description of Problem including details of Preivious Recovery attempts:

List Critical Files and Directories

Terms of Contract:

I agree to allow Geeksnerds Limited to perform the data recovery process on my media/device. Geeksnerds Limited is not responsible for any damage during shipment and data recovery process. Manufacturer warranty may be void. Geeksnerds is not responsible for any equipment left after 30 days. Geeksnerds Limited reserves the right to transfer the media to company's other National/International facilities if needed.

Agreed with terms?