TILOJASOFT CONSULTING GROUP

Computer Repair Request Form                                                               PLEASE READ BEFORE TURNING IN YOUR SYSTEM

TilojaSoft LLC                                                                                        Make sure that you have any CD’s or cables that

23580 Wellington Ave                                                                        came with the system at the time of turn in. Failure

Denham Springs, LA 70726                                                                to turn in these item may result in the delay of your

225-252-4178                                                                                      repair.  Imagine taking your car in for service and not

                                                                                                                Leaving the keys, it’s the same thing!

Customer Information

Name: _______________________________                           Phone: _________________________________

Address: _____________________________                           Email: __________________________________

City: ___________________ State: ______ Zip: _________

Information about Your PC                                                                                                         Service Requested

    □     Desktop PC                                         Model: ______________________                   □  Cleaning

    □     Laptop PC                                            Serial Number: ________________                    □  Computer Repair

    □     Other (Please Specify Below)           Operating System: _____________                     □  Hardware Install
 

        ________________________           Date Purchased: _______________                    □ Virus Removal

Tell us, what’s wrong?

What is wrong with the PC? Be as detailed as possible.                                                Things to mention:

                                                                                                                                                *Crashes / system freeze

                                                                                                                                                * Error messages

                                                                                                                                                * New programs installed

                                                                                                * New hardware installed

                                                                                                * Accessories installed

                                                                                                * Anything you may have tried

                                                                                                    to repair the problem already

In bringing my personal computer for maintenance or repair to Tilojasoft, I understand and agree to the following:

·         Tilojasoft does not accept responsibility for any damage to my computer’s hardware or peripheral devices

·         Tilojasoft does not accept responsibility for backing up any data or installed software applications that may be on my computer’s hard drive. I am responsible for making sure that any critical data  is backed up before bringing my computer to Tilojasoft and for providing copies of any licensed software if necessary.

·         I acknowledge that Tilojasoft will work on my computer as soon as possible after I bring it in.

·         When I drop off my computer, Tilojasoft will give me an estimate of when the repair or maintenance will be finished. If this estimate changes, the technician will notify me at the phone number or email address listed above.

·         When I pick up my computer, I will make sure that I also pick up all peripheral devices and media, and I will not hold Tilojasoft responsible for the subsequent loss of any items that I may leave behind.

·         Tilojasoft will work on my computer to the best of his abilities; however Tilojasoft does not guarantee that he will be able to solve the problem or problems that my computer is experiencing.

________________________________                                                                     _____________________

Signed By                                                                                                                               Date

                          Computer Repair Agreement

TERMS AND CONDITIONS

In case of any data loss the customer (End-User) is responsible for ensuring back up for their own data. Our service is completed on a first come, first served; first-in, first-out basis. We make every effort to troubleshoot every machine that enters our shop within 24 to 48 hours. However, due to periods of increased workload it may take longer to contact you with a diagnosis. A time estimate will be given when you drop off your equipment. Please note: There may be circumstances under which our technicians cannot repair, perform, or service the equipment. If this should occur, we will inform you immediately upon discovery.

We will give an estimated time frame for how long it will take to service the computer and any parts. If for some reason our service should take longer than the quoted estimated time frame, you will be notified immediately.

If your system requires a part to be repaired, then we will contact you before ordering the part with an estimated cost for the part and the total cost of labor. All parts are ordered with your consent. When we order parts on your behalf, you will be charged for the parts and any associated labor costs. Note: our vendors will not allow us to return parts for credit or exchange.

I, the customer (End-User) agree to release Tilojasoft Consulting Group and its service technicians from any liability for the loss of data, indirect, special incidental, consequential, or other damages, however caused, arising while in possession of the customer (End-User) computer and any parts.

Signature                                                                                                                                                                                                                                                                Date