Data-Recovery-Vancouver.com                                                     SERVICE # __________
4720 Kingsway, Suite 2600                  423 Tyee Dr. Suite 416
Burnaby, BC V5H 4N2                         Point Roberts, WA USA 98281
help@data-recovery-vancouver.com

                                      DATA RECOVERY SERVICE FORM

  Company / Name: _______________________________      TEL: ________________    Email (print):_________________

  ADDRESS: __________________________________   CITY: _______________      PROVINCE: _________        ZIP: ____

  User Info (name/address/tel/email/password):________________________________________________________________

Item _______________________________________   Serial Number ___________________  Computer Type __________

All Partitions & Size             C:_____ D: _____E: _____ F:______                                                Compression:  Yes __ No ___   

Operating System___________    Encryption:  Yes __ No ___

File System: FAT_   NTFS_   EFI/GUID_  NSS_   HPFS_   HFS (+)_   Ext2/3_   UFS _  HFS_  XFS_  JFS_  ODS_   ReiserFS_ Others__

Destination Media: DVD__ (2 Free, extra $50ea)     Customer Provided Hard Drive ($0)* ___     Others ________________

Circumstances of Failure_______________________________________________________________________________

__________________________________________________________________________________________________

What recovery attempts have been made? _________________________________________________________________

___________________________________________________________________________________________________

List wanted files/folders and describe what kind of data:________________________________________________________

___________________________________________________________________________________________________
Service:
    Express (plus 100% on total bill, about 1 to 3 days*) __                
             
Standard (about 4 - 7 business days*) __
             

I have understood the following conditions. I authorize Data-Recovery-Vancouver.COM to help me / my company to recover the data.

                                               _______________________ (Signature)     _________________________ (Print Name)
RATES:
a)  $695 flat fee for all the logic data recovery.   
       You will need to pay $100 cancellation fee for withdrawal or full amount if the job has done.
b)  You will need to pay $200 for Express if unrecoverable
c
)   If you want your original drives back, please include $20 handling charge.
NOTES:

1) You agree that Data-Recovery-Vancouver.com is not responsible for any business, personal, and data loss during the data recovery procedure,
      any items left more than 30 days after confirming the result, any recovered data after picking up (or receiving) more than 7 days.
2)  2% interest & $10 storage fee per month will be added up for unpaid jobs.
3)  For status, please email with your service #.

How did you hear about us?   _________________________________________________________________________

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* For estimation only and it may take longer,
specially if you can not provide enough info.