CyberCorp Work Order

Shipping Address:
Delivery -- 276 Quorn Dr, Northriding, Randburg, South Africa
Tel: (011) 794-4762
Fax: 086-5168566
Emergency: 082-4413198
   
 
INSTRUCTIONS
Please fill out, print, sign and include this
form with your media to be shipped.
   
  Name:
  Company:
  Telephone:
Ext:
  Fax:
  E-mail:
  Shipping Address:
  Quote/Estimate No.
  Price Quoted/Estimated -- R
  .
  Media Information:
  How many Devices total:
  How many Partitions/Volumes:
  .
  Operating System:
 
  .
  FailureSummary:
(Please describe problem briefly)
 
  .
  Files and Folders Most Needed:
(Please be as specific as possi9ble)
 
  .
  Recovery Mode:
(Transfer my recovered data to)
  - or -
  Authorised by:
  Date:
 


Signature: X_________________________

   
 




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