Laptop Repair Order Form Step 1: Tell us about Yourself and Your Laptop

Laptop Repair Order Form	* indicates required field
To request your Laptop repair, please fill out the form below. Once you have completed the repair form you will be asked for your payment details and given instructions on how to pack and ship us your laptop as well as your login information to keep track of your laptop repair.

Choose Your Order Option:

	Diagnostic Only Option	$49.95
	Powerjack Repair Option	$89.95
	Keyboard Repair Option	$89.95
	LCD Replacement Option	$299.95

Enter Your Contact Information:

First Name:	*
Last Name:	*
Company Name:
Email Address:	*
Home Phone #:	format: (###) ###-####
Work Phone #:	format: (###) ###-####
Mobile Phone #:	format: (###) ###-####
Preferred Contact:

Enter Your Shipping Information:

Shipping Address:	*
Address 2:
Shipping City:	*
Shipping State:
Shipping Zip:	*

Does your billing address match your shipping address? Yes

Enter Your Laptop Information:

Laptop Brand:	* If Other:
Laptop Model:	*
Laptop Serial #:	*

Describe Your Laptop Problem:

	Please provide a detailed description of the problem you are having with your laptop. If possible, please include step by step instructions to reproduce the symptoms.
	*

Read and Accept the Terms & Conditions:

Return Policy: I understand that some laptop computers may not be repairable due to extensive damage or parts being unavailable. If my laptop is found to be "unrepairable" by their service technicians, IRepairLaptops.com will refund the service fee, and will return my laptop using the return service option I selected and for which I prepaid.  If I decline any additional repair(s), IRepairLaptops.com will refund the service fee minus a $49.95 diagnostic fee, and will return my laptop using the return service option I selected and for which I prepaid.

IRepairLaptops.com strives to protect customer data. However, I understand that as the customer, I am solely responsible for my data, including backing up all data prior to sending my laptop to IRepairLaptops.com for repair. I understand that if I am unable to back up the data, I will notify IRepairLaptops.com. IRepairLaptops.com is not responsible for any software or data.

IRepairLaptops.com abides by privacy rules issued by the U.S. Department of Health and Human Services requiring the Health Insurance Portability and Accountability Act of 1996, HIPPA. 

New, used, or refurbished parts may be used in the repair of my laptop. All parts will have a 30 day limited warranty from IRepairLaptops.com.

I understand IRepairLaptops.com is not responsible for keeping or returning defective parts that are replaced as part of the repair, unless specifically requested by me prior to sending my laptop in for repair.

I understand some service related problems, including viruses, spyware, adware and other software issues may not be removable or repairable. In the event the computer's operating system may need to be reloaded, I will include the installation discs / recovery media that came with my computer. I understand IRepairLaptops.com is not responsible for the functionality of any software, including Microsoft Windows, and that IRepairLaptops.com's 100% satisfaction guarantee does not apply to software issues.

I understand IRepairLaptops.com is not responsible for any damage to my laptop that occurs during shipping to or from their location. I understand that I am responsible for properly packaging and insuring my laptop when shipping it to IRepairLaptops.com. IRepairLaptops.com will declare a value of up to $999.00 during return shipment and if I desire additional coverage, I am responsible for notifying IRepairLaptops.com and covering any additional expense.

I understand that any shipping/handling charges paid to IRepairLaptops.com are not refundable.

While most repairs fall under the "flat rate" service offered by IRepairLaptops.com, I understand that some repairs are not covered. Such repairs include, but are not limited to; multiple defective parts, motherboard replacement and LCD display replacement. In such cases, IRepairLaptops.com will notify me with a quotation of the additional repair costs.

Terms and Conditions Last Updated On 03/27/2008.

I agree to the terms and conditions above. *