Device Repair Form

Please, fill out accurately with clear handwriting and ship in a box with your device:

CONTACT INFORMATION

First Name, Last Name :
Shipping Back Address (Street, City, State, Zip):
Email Address :
Phone Number :

DEVICE INFORMATION

Product:
Serial Number :

PROBLEM DESCRIPTION

Please provide a detailed problem description. Error numbers and Error descriptions are extremely helpful.

ADDITIONAL ITEMS SHIPPED WITH YOUR DEVICE

We DO NOT require any additional items with your device. However, we request the following:
• DO NOT send any accessories or chargers.
• Remove any passcodes on you device. Access is necessary for diagnostics and testing.
• If there is any, please remove sim card from your device.

WARRANTY AND LIABILITY STATEMENTS

Please check each statement below confirming that you agree to the terms and conditions set forth for any repairs performed by Fix Apple Now Inc.

I understand Fix Apple Now Inc. is not responsible for any software or data loss on my device. I am responsible for backing up the data prior to shipping the unit to Fix Apple Now Inc. for repair.

I understand Fix Apple Now Inc. is not responsible for any damage done to my device during shipping to AND from our workshop. I understand that Fix Apple Now Inc. will insure my device during return shipment.

SIGN YOUR NAME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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