First Name

Last Name

Phone *

Email *

Address *

Password

What type of computer are you dropping off?

Laptop (with charger please)

Desktop

All in One (with power adapter)

Description of the problem *

If necessary, may we delete files (data and software programs) in order to reinstall the operating system and make the computer functional again? *

Yes

No

Notice: Customers are responsible for their own data, We take no responsibility for data loss. When possible, back-up of personal data will be attempted to the best of our abilities with no guarantees. *

I understand and agree

Items will accrue a $5 per day storage fee beginning 3 days from the date of repair completion and notification of such. Any items left over 30 days from the date of repair completion will be considered abandoned and sold to cover any expenses accrued by iluvmygeek.com, LLC. *

I understand and agree

Our diagnosis is based on our current understanding of your computer's condition. Costs and time to repair may vary upon further troubleshooting. We may use new, used, or refurbished parts in the process of repairing your equipment.

I understand and agree

I understand by clicking submit, I am digitally signing this document and agree to all the terms and conditions

I understand and agree

By clicking "submit" I understand that I am agreeing to occasional sms messaging from iluvmygeek.com. I also understand I can text the word "STOP" at any time to be removed from this list.