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Repair order

Job no.
Date received
Business (stamp, address, phone)
Customer
Name
Phone
Address
Email
Item
Type / device
Make / model
Serial no. / IMEI
Accessories handed in
Condition at intake / existing damage
Fault description / order
Cost and date
Price / estimate
Approved without asking up to
Deposit
Expected ready date
Estimate wanted before repair: yes no

Notes: please back up your data before handing in your device. As far as legally permitted, we accept no liability for data loss. We will only hand over the repaired device once it has been paid for in full. We keep uncollected items for ____ weeks after completion. With my signature I place the order for the work listed above and confirm that I have read the notes.

Date, customer signature
Received by
Collection
Work carried out
Total
Collected on
Customer signature at collection
Handed over by

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