Data Recovery Request Form

Please fill in the following Fields:

Customer Information
Company
Contact Person
TEL
FAX
Email
Contact Adrress
Job Details
Media Manufacture
Model
Serial No
Interface	SCSI IDE EDIE ST-MFM ST-RLL ESDI SATA
Operating System
Partation Description	(Number of Partitions / size / file system type (such as FAT or FAT 32 or NTFS)
Description of Failure (Very important for you to fill section up as clearly as possible.)
Circumstances and observation of Failure.

What recovery attempts have been made ?

Specify files or folders that are most needed.

I would like to use "Standard" Service and return/destroy* the data media after data recovery I would like to use "Priority" Service and return/destroy* the data media after data recovery
Note: Standard service takes about 5-10 working days and Priority service takes less than 5 days
Terms and conditions
1. The customer avers that he/she is the legal rightful owner or representative of all files and data that are send to ASC for data recovery work. 2.The customer attests that the recovered data will not be used for any illegal purpose and ASC recovery service is not participating in any illegal activity. 3. ASC is not responsible for the condition and warranty of the data media upon returning to the customer after data recovery or preliminary diagnosis. 4. If the customer does not collect the data media within a month upon notification of collection, ASC will assume that customer does not want the data media and will proceed to destroy the media.
I agreed the above mentioned terms and conditions.