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Recover Data 404, C-Wing, Eastern Court, Vile Parle (East), Mumbai - 400057, India Helpline: +91-9910898881 Recover

Data Data Recovery Form Print the form below from your browser. Fill it out as completely as possible, using additional sheets of paper if needed. Package the media to be recovered and enclose this form in the box. We will contact you by phone or by e-mail upon receipt of your shipment. Thank you in advance for your assistance. Contact or shipment info Contact Name:

Company:

Address:

City:

State:

Zip Code:

Country:

Email ID:

Phone Numbers Phone 1: Phone 2: Fax:

Cell Phone:

Other:

Storage Media to be recovered Media Manufacturer & Model: Model No.:

Computer/Device Make & Model:

Operating System:

General Information Brief Description of the problem (Use Separate sheets if needed):

What Recover efforts have been made? (If any)

Critical Files needed (Use separate sheets if needed)

Return Data on

Additional Comments

Payment Information Authorized Signature: Payment Method:

Credit Card/ Cheque no.:

Name of Payer:

Recover Data, 2006-2007 All rights reserved.

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