Customer Name

Technician Name

Expected date of return (We will confirm this via a booking)

Address you are taking equipment from

Detail what equipment you are taking from the customer

   I agree
Agreement: By agreeing, I confirm that I am the owner of the equipment or agent of said owner and have permission to authorise Mobile Computer Geeks Services or its contractor to take the equipment offsite. I confirm that the equipment is not fully working and will not hold Mobile Computer Geeks Services or its contractor liable for any damage or loss of data caused to the equipment supplied by me, before or subsequent to any work carried out.

   I agree
Data Recovery Agreement: I understand that recovery success isn't guaranteed and release Mobile Computer Geeks Services or its contractor from liability for any unsuccessful recovery attempts or data loss and understand that a fee is still payable even is data recovery is deemed not possible.

Customer Email