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ATD REQUEST FORM
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Your Name: |
Date: |
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Media for Recovery details | |
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What data is required? | |
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Media Type: |
Can we break the seals on the
media? |
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Operating System: |
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Model Of Drive: |
Return Media On: ___ CD ROM |
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Reasons of Failure: | |
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Approval | |
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I have read, understand and agree to the ATD. Terms and Conditions.
Approved By (Print):___________________________________ Date:___________________________ | |
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PERSONAL INFORMATION | |
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Contact Name: |
Company / Organization: |
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Tel: |
Address: |
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Email: |
Fax: |
The Data Emergency Specialists |
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Office in New York | ||||||
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I have read, understand and agree to the ATD.
Terms and Conditions. Signature: X____________________________________________________________________
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