Data Recovery Masters, a division of CTE Computer
5.25 Disk Copy Submission Form 

Use this form to submit Disk Copy,
Conversion, and Transfer  Media.

To submit Hard Drives, use the Hard Drive Submission Form found here.

To submit Camera Memory
and CD, CD-R, CD-RW, and DVD Media,
use the Submission Form found here.

To submit disks for Disk Copy, follow the steps below:

1. Print out this form.

2. Fill out this form completely. Incomplete forms will result in delays in your data job.

3. Enclose this completed form, your Disks, the correct fee and ship or mail to our address. 

** Note that larger quantities of disks (over 15) will incur a higher shipping fee. Shipping insurance is not included.

If you have any questions, you can email us at recovery@datarecoverymasters.com or call us at (562) 421-7105.

Media Submission Address:
Data Recovery Masters - CTE Computer
3818 Canehill
Long Beach, CA 90808
USA

_______________________________________________________________________

Media Submission Form (fill out completely)

CONTACT INFORMATION

Name __________________________________________________________________

Company _______________________________________________________________

Address ________________________________________________________________
Note: Please give a street address. UPS and FEDEX do not ship to Post Office
boxes.

City ___________________________________________________________________

State __________________________________________________________________

Zip ___________________________________________________________________

Country _______________________________________________________________

Voice Phone (_______)___________________________________________________

Fax Phone (_______)_____________________________________________________

Email Address __________________________________________________________

How did you hear of us? __________________________________________________


Number of 5.25" disks enclosed ____________________________________________


Return Data to me using this method:

_______ Email Zip Files             _________ Ship on CD Rom (CD Rom and Shipping fee enclosed**)

PAYMENT INFORMATION

Enclose the Correct Fee. Payment in the form of Check, Credit Card, Money Order, Cashiers Check, 
Cash is accepted. Note that Company and personal checks will delay your data job while the bank clears your check.

PAYMENT METHOD (CHOOSE ONE)

Please specify a payment method. Your request will only be placed in line and eligible to be worked on when a valid payment method has been received.

NOTE: Applicable local taxes may be added to the charges.

[   ] Visa [   ] Master Card 

Cardholder Name: __________________________________________________________

Credit Card Number: _______________________________________________________

Exp Date: ______/_______           Credit Card Security Code (CCV): ______________

Cardholder Billing Address: _______________________________________________

Cardholder Billing City, State, Zip: ______________________________________

I acknowledge that the disks submitted are PC formatted and the data integrity is 100%.
I understand that the minimum fee on Disk Copy jobs is $45 regardless of outcome
and agree to the payment terms in the Credit Card Holders Agreement.

Cardholder Signature: __________________________________________________

[   ] CHECK
The check must be numbered, imprinted with your name and address, signed, and made out to CTE Computer. There is a $49 charge for any check returned by the bank unpaid. Please note there will be a delay in the processing of your Disk Copy job while the bank clears your payment.

WAIVER OF LIABILITY

I, ______________________________________, grant permission to
CTE Computer ("CTE") to perform any action they deem necessary to attempt to 
complete my data job. I understand that this procedure is a final attempt 
towards the recovery of data from disks I cannot access and could result in loss of 
part, or all, of the data stored thereon and that CTE makes no warranty or 
guarantee as to the success of its attempts. Furthermore, I release CTE from 
any liability for any data loss which may occur during, or as a result of, 
this procedure. I also release CTE from any liability for any theft, loss, 
damage or destruction to the drive and any other hardware, diskettes, or 
other media sent to CTE in connection with this Waiver. 

ALL CLAIMS FOR LIABILITY AND/OR LOSS INCLUDING WITHOUT LIMITATION ANY
INDIRECT, INCIDENTAL OR CONSEQUENTIAL DAMAGES WHICH MAY OCCUR AS A
RESULT OF ANY CTE ACTION (OR INACTION) ARE HEREBY EXPRESSLY WAIVED. 

I also understand that, even if the data is successfully recovered,
there is a possibility that individual files and directories on the disk may
still be inaccessible due to wear and tear of the older media. I agree to pay 
the applicable fee for these services by CTE.

Disks submitted to CTE will be destroyed after the data copy process is finished.
Disks are not returned to the customer unless prior arrangements are made. 
Data left with CTE for over 30 days becomes the property of CTE Computer.

The Customer aggress that the total liability of CTE or its contractors or suppliers
to the Customer shall in no event exceed the total sums paid by the Customer to CTE.

I agree to accept the responsibility for shipping the system or hard drive to
CTE. CTE will not be responsible for any damages, loss, or theft incurred 
during the shipping process and any loss or claim against such agents shall 
be solely by and on the behalf of the undersigned.

If making all or any portion of balance due payable by credit card, I agree to the terms in the Credit Card Holders Agreement.

I agree to all of the foregoing conditions.


Print Name ______________________________________________________________

Signature _______________________________________________________________

Title ___________________________________________________________________

Date ____________________________________________________________________



Fill out and enclose this entire form. Submit with your Media and Payment.

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