Work Order

1193 Noe-Bixby Rd.,Columbus OH 43213
(614) 861-6151 bus., (614) 795-9353 fax
E-mail: Computek@Insight.rr.com
Date:
 Time:
   Brand Name:
   		  Model#:
   		  Serial Number:
  
BIOS Password:
   Windows Password:
   		  Internet Password:
  
Company:
   Name:
   		  Address:
   		  Apt#:
  
City:
 		  State:
   		Zip:
 		E-Mail:
  Home Phone
   		  Cell Phone:
   		  Work Phone:
  

 All Services Must Be Prepaid
Service Requested:
In-Shop Repair
On-Site Service-h/r
Warranty
       Non-Warranty
      Software Installation/Repair-h/r
        Micro-Component/Repair-h/r
      Upgrade
        Expedite (additional $20 diagn.)
Service Fee:
    None with a valid proof of purchase

Flat Fee (If not marked)        Hourly Rate (Based on unit)
Payment Type:
Company Check        Money Order        Cash        Credit Card       (No Personal Checks)
Please enter prepaid amount in the box to the right:     $ 
If you would like to preapprove an amount for repairs, please enter this amount in the box:   $ 

Reported Problem:
Type of Equipment Brought in for Repair
 PC Computer
 Laptop Computer
 MAC
 Printer-Inkjet
 Printer-Laser-Business-h/r
 LCD Projector-h/r
 		 Printer-Laser-Office Size-h/r
 Multifunctional-Home/Office
 Multifunctional-Business-h/r
 Fax Machine
 Laser Color Printer-h/r
 Plasma Screen 42"-60"-h/r
 		 Point of Sale Printer
 Scanner
 Monitor
 Copy Machine-h/r
 Digital Camera
 Monitor 14"-21"
 Others
Accessories Brought for Repair
 Power Plug & Cable
 Restore Disk
 Windows OS
 Drivers
 CD-Rom/DVD/CDRW (external)
 		 Cables
 Cartridge/Drum
 Remote Control
 Floppy Drive
 Hard Drive (External)
 		 PCMCIA Cards
 Port Replicator
 Keyboard
 Mouse
 Case
 Others

I have read this agreement and agree to the terms as stated therein.

Warranty Repair Customer

  1. Cutomer is responsible for proof of warranty.
  2. Customer is responsible for data back-up before bringing in for service.
  3. Warranty does not cover Problems caused by Viruses, Physical Damage, Software of Non-compatible parts installation.
  4. Customer will be billed for non-warranty service.
  5. Repair will not extend original warranty.

Non Warranty Repair and Upgrade Customer

  1. Labor and Diagnostic fees are NOT Refundable.
  2. Customer is responsible for back up of data before bringing in for service.
  3. Customer may need to reinstall software after some upgrades for proper opration of system.
  4. Printers must have sufficient amount of ink or toner for diagnostics and be made by original manufacturer.
  5. Flat fee will include diagnostics and labor - does not include parts, software, micro components, cleaning and additional services).
  6. Units which are not picked up after estimates are given or repairs are complete, in 60 days, become property of Computek Warranty.
  7. Return checks fee $30.
  8. A 1.5% monthly late payment fee will be assessed to all balances past 30 days.
  9. There is a 30 days warranty for reoccuring problems (does not include software or other component failure that may cause similar problems).
  10. All refused repairs/services, after having been approved, are subject to a 30% restocking fee. Shipping fees are not refundable.