Date Date Format: MM slash DD slash YYYY Time : HH MM AMPM Name First Last ZipcodeEmail Cell Phone NumberHow did you hear about us?Brand of ComputerComputer Model #Windows Login Password*Briefly Describe Your ProblemBasic Terms Of Service1. $75.00 Diagnostic Fee Due at Drop Off. The $75.00 will get deducted from overall repair. As an example: (TOTAL ESTIMATE minus $75.00 = BALANCE DUE AT PICK UP). The diagnostic is non-refundable 2. 30 DAY PICK UP POLICY – Any computer or device will be considered abandoned and will be recycled if not picked up within Thirty (30) days of the date on this form. 3. Privacy – Dave’s Computers respects your privacy. We keep computers secured in our store during repair, and do not go through your data. If you have any concerns, please ASK at drop-off. Service Requested*Diagnostic - $75+taxBasic Computer Cleanup - $149+taxComputer Tune-Up (cleanup + make my pc faster) $175+taxData Recovery - $149 and UpHow soon do you need it diagnosed?*Within 24-48/hrs (free)Same Day $50 ExtraUrgent (we will start on it now) $100 ExtraWould you like added protection?* Yes. Install Virus/Malware Protection $40 No and I understand I will be opting out of Dave's 90 day troubleshooting warranty for computer cleanup or tune-up.Print This iframe contains the logic required to handle Ajax powered Gravity Forms.