Data Recovery Request Form

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1 Office Use Only: Ticket#: Tracking#: Data Recovery Request Form nerdcore 11 Howden Street Oakleigh East 3166 Victoria Phone: Please complete this form, print it out, sign it at the bottom, and include it with your media. There Are Evaluation Fees or Attempt Fees For Our Services Unless ted Otherwise. Package your drive as if you were shipping an egg. First place the drive in an anti static bag if you have one, or you can use aluminum foil. Then wrap the drive in 3 or 4 good layers of bubble wrap and place it in a well fitting box. It is recommended to ship the fastest method possible, as to reduce the amount of time in transit. Please remove all mounting brackets, laptop adaptors, mounting screws, etc. from your drive Contact Information Company Name: Contact Name: Position: Shipping Address: Shipping Address Line 2: City: State: Zip Code: Phone: Fax:

2 Alternate Phone: Website: Billing Information (Leave blank if paying by PO, Check, or if you prefer to give this information to us over the phone) Card Type: Card Number: Expiration Date: Name On Card: Billing Address: Billing City: Billing Zip: In the event your data is not recovered, a $35 charge will incur for return shipping of your drive. credit card information is being transmitted across the Internet from this form. Media Information Computer Type: Operating System: Type of Media: File System: (example: Fat32, NTFS, HFS, etc.) Hard Drive Manufacturer: Capacity in Gigabytes: Model Number: Serial Number: Disk Interface: Number of Volumes or Partitions: Purchase Date:

3 (This is rare, if, a $175 diagnostic fee may apply) Have The Warranty Seals Been Broken?: Can We Break The Seals If Necessary?: Do You Need Your Damaged Drive Returned If It Is t Recoverable?: Price Quoted For Recovery: Plus Tax For Texas Residents Select Service Priority Level: Standard (free) Rushed ($99) Expedited (see below) Standard Services Explained: For our standard service, your drive is entered into our ticketing system and qued for evaluation the day we receive it. Most evaluations are completed within 1-2 business days, followed by an average recovery time of 3-5 business days. There are no evaluation fees or attempt fees at this service level. Rushed Services Explained: For our rushed service there is a non-refundable fee of $99. Rushed service guarantees that your evaluation will be completed the same day we receive your drive, which will also help the recovery process start as quickly as possible. Expedite Services Explained: Expedited service is the absolute fastest way to get your data back. We have a dedicated area just for expedite jobs. Each expedite job is assigned it's own imaging and recovery system that is not shared by any other jobs. This does not guarantee a date of completion, but on average it can save anywhere from 2-7 business days on the recovery time, because the drive is not waiting in line for recovery. Expedited jobs are considered an emergency service. We work on them throughout the week, after hours and over the weekend as well when necessary. Typically expedited jobs are completed within 1-3 business days, unless we have difficulty finding parts for your drive. Expedite Fees: Single IDE/SATA/SCSI drives (most workstations & personal PC's) = $299. RAID 0/1 (typically 500GB+ external drives with multiple hard drives in the enclosure) = $499. Situation of Failure Does The Drive Make Unusual ise: Sometimes If, What Kind Of ise: Is The Drive Seen By BIOS: Is The Drive Seen By The OS: What Events Led Up To The Failure: (Attach Additional Information If Necessary)

4 Most Important Files & Directories ( be as specific as possible, attach additional pages if necessary) File Types File Locations Specific File Names.doc,.xls,.qbw,.pst, Quicken, Word c:\mydocuments, d:\backup Archive.pst, salesreview.xls Terms & Conditions Select Media For Recovered Data: Select Desired Return Shipping Method: The services you are requesting will be performed under the following terms and conditions. This is the complete agreement between you and nerdcore, nerdcore Data Recovery must approve any modification to this Service Agreement in writing. 1.You hereby engage nerdcore Data Recovery and/or its suppliers to use all commercially reasonable efforts to determine the existence and extent of recoverable data on your media ( Evaluation ) and retrieve and/or provide access to your recoverable data ( Data Recovery ), or to delete data from your media ( Deletion ) (collectively, the 'Engagement') 2. Information contained in your data/media ( Client Information ) will be used by nerdcore Data Recovery only for the purpose of fulfilling this Engagement, and will otherwise be held in confidence by nerdcore Data Recovery. These confidentiality obligations shall not apply to any information which enters the public domain through no fault of nerdcore Data Recovery, which was known to nerdcore Data Recovery prior to receipt from you, which is disclosed to nerdcore Data Recovery by a third party (other than employees or agents of either party) which to nerdcore Data Recovery's knowledge in making such information available to nerdcore Data Recovery is not in violation of any confidentiality obligation to you, which is independently developed by nerdcore Data Recovery without recourse to the Client Information, or which is used by nerdcore Data Recovery in any legal process. You acknowledge that nerdcore Data Recovery may keep record copies of its deliverables and the data/media received from you under this Agreement. This confidentiality agreement may be breached by nerdcore Data Recovery at any time, when Client Information is found to contain data such as child pornography or information that is detrimental to national security. 3. You will be charged a custom quoted Data Recovery Fee and you agree to be responsible for all media, shipping and handling charges and all risk of loss during shipping, even by nerdcore Data Recovery between its offices. You agree to pay all charges quoted, plus shipping charges, as well as taxes and similar charges. services will be performed and no charges incurred unless you consent by executing this Service Agreement. Additionally, in the event data is deemed unrecoverable, you agree to pay all shipping charges associated with the return of the unrecoverable media to you. In the event you decide not to have your media returned, or you fail to provide payment for return shipping, the media/data/equipment will become the property of nerdcore Data Recovery 90 days after any evaluations or recovery attempts have been completed.

5 4. You acknowledge that the media/data/equipment you are making available to nerdcore Data Recovery is already damaged, that data recovery efforts can result in further damage, and that nerdcore Data Recovery is not responsible for this or any other type of damage, including damage to or failures by equipment or media furnished by nerdcore 5. You warrant and represent and warrant to nerdcore Data Recovery that you are in lawful possession of all data, media and/or equipment you make available to nerdcore Data, and that you have a lawful purpose to engage nerdcore Data Recovery for the Engagement. If you are requesting any Deletion services of any kind whatsoever, you hereby warrant and represent that such data is not involved in any current or anticipated legal proceeding, investigation or government inquiry. You agree to indemnify and hold nerdcore Data Recovery harmless from any and all claims, liabilities, costs (including attorneys fees) and damages of any kind related to this Service Agreement. 6. You agree that nerdcore Data Recovery grants no warranties regarding its services of any kind, and all services are provided on an as-is basis. Any issues regarding recovered data (either data corruption or incomplete recoveries) must be addressed within 10 business days of the completed and shipped recovery. After 10 business days your recovered data will be qualified as acceptable, and it will be removed from our servers. Any additional recovery attempts will be subject to additional recovery charges. nerdcore Data Recovery will focus on the file types or specific file names specified within this request form. If no specifications are made then a generalized recovery of all available data will be made and this may or may not include data that may be deemed desireable by you. ALL IMPLIED WARRANTIES (INCLUDING THE WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE) ARE DISCLAIMED. 7. nerdcore DATA RECOVERY WILL NOT BE LIABLE FOR ANY DAMAGES WHATSOEVER, WHETHER DIRECT, INDIRECT, INCIDENTAL, CONSEQUENTIAL, SPECIAL, PUNITIVE, OR EXEMPLARY (INCLUDING, WITHOUT LIMITATION DAMAGES FOR LOSS OF BUSINESS PROFITS, BUSINESS INTERRUPTION, LOSS OF BUSINESS INFORMATION OR DATA, AND THE LIKE) ARISING OUT OF THE SERVICES OR DELIVERABLES PROVIDED HEREUNDER, EVEN IF nerdcore DATA HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. 8. Any consent required of either party will be effective if provided in a commercially reasonable manner, which includes without limitation or facsimile, and/or verbal authorization if followed by written confirmation at the earliest possible opportunity. nerdcore Data Recovery will store your data for 10 business days after your recovery has been completed. After such 10 business day period, nerdcore Data Recovery will delete your data. We can remove data sooner at customer request. 9. Should your data be deemed completely Unrecoverable ; or you simply elect not to have your data recovered, return shipping charges and expedite fees (if applicable) will remain your responsibility. Unrecoverable means that there is mechanical failure or severe data corruption in the media that precludes access to any data on the media by any means within nerdcore Data Recovery's capability. This definition does not apply in cases where 'desired' data is not present. By signing below, I acknowledge that I have read and understood the terms and conditions set forth by nerdcore Signature: Printed Name: Date: Authorized Credit Card Holder Signature (if different):

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