LCTECHNOLOGY

~ERNATIONAL

r

o-----Q>igital Media Recoverv)

RECOVERY

TEAM MEMBER

THAT ASSISTED

YOU

LOCAL

NUMBER

TOLL FREE NUMBER

Eric Beaudoin
STEP 1 Contact Information
NAME

(727) 449-0891 x103
DAYTIME

(866) 603-2195 x103
PHONE

Liesal Hoffman

( 402 ) 366-2244
ALTERNATE PHONE

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STREET ADDRESS

211 N Iowa Ave
CITY

( 402 ) 908-4100
EMAIL

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San Disk - $75 Other Brand - $100

D San Disk - $125
D Other
Brand - $150

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Credit Card #: 374630067798951 Order

Expires:

12/11

3-4 Digit Card Code:

0497

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D Money

D Personal Check (Your media

will be held for 10 business days or until check clears)

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STEP 4A Ship To Information
Please use a sturdy mailer, padded envelope or small box to send media to us. Do not use a letter envelope as media will be damaged and/or lost by USPS sorting machines. Send completed form and media to:
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LC Technology 28100 US Hwy 19 N, Suite 203 Clearwater, FL 33761 Attn: Eric Beaudoin

, STEP 48 Return Shipping Information - WIiI

take

2·3 business

days
UNSUCCESSFUL RECOVERY (Unreturned media will be safely destroyed)

Return shipping via USPS Priority Mail Service is included free with all successful recoveries. If your recovery is unsuccessful, there is a $10 shipping fee to have your media returned to you. If you do not want your media returned, it will be safely destroyed by LC Technology.
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Return Media

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W

D Do Not Return Media

, STEP 5 Liability Waiver - Must
Liesal Hoffman
-I

oe Signed

ond Dated

bejore

work cun oe begin

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I. , grant permission to LC Technology International, Inc. ("LeT''') to perform any action deemed necessary in an attempt to recover my files and/or data. I understand that this procedure is a final attempt towards the recovery of data and could result in loss of part, or all, of the data stored thereon, and that LCTI makes no warranty or guarantee as to the success of its attempts. Furthermore, I release LCTI from any liability for any data loss, which may occur during or as a result of this procedure. I also understand and agree that if data is recovered from my media, it is deemed a successful recovery and that I am liable and responsible for payment I also release LCTI from any liability for any theft, damage or destruction to the media and any other hardware, or other media sent to LCTI in connection with this Waiver. ALL CLAIMS FOR LIABILITY AND/OR LOSS INCLUDING WITHOUT LIMITATION ANY INDIRECT, INCIDENTAL OR CONSEQUENTIAL DAMAGES, WHICH MAY OCCUR AS A RESULT OF ANY LCTI ACTION (OR INACTION) ARE HEREBY EXPRESSLY WAIVED. I also understand that, even if the data is successfully recovered. there is a possibility that individual files may still be inaccessible due to the type of damage originally sustained. In addition, I agree to pay the applicable fee for these services by LCTI, plus shipping and handling expenses as follows: LCTI will pay for return shipping through the US Post Office. Expedited shipping, shipping through alternative carriers, shipping insurance and other shipping related expenses are the undersigned's responsibility. I agree to accept the responsibility for shipping the media and any additional hardware to LCT!. LCTI will not be responsible for any damages and/or thel! incurred during the shipping process and any 10 or claim against such agents shall be solely by and on the behalf of the undersigned. I agree to all of the foregoing conditions.

DATE

10/30/2009
ater, FL 33761 a Phone (727) 449-0891 a Fax (727) 449-0893 a www.LC-Tech.com

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