Delivering Damaged Media Form

This form helps to quickly fulfill your request should you send a damaged data medium by mail or a messenger service. Our team will be prepared for the delivery of your damaged medium in advance and, therefore, will be able to arrange their time more effectively to help you quickly.

Data provided in the present form serve only for internal purposes of TDP. Your data will not be misused or offered for commercial purposes. Information marked with "*" are required

Address
Date:		Delivery note number:
	Person Company
*Name:		*Surname:
*Phone:		Email:
*Company:
*IČO:		DIČ:
Street:
City:		Postcode:
Delivery address
Street:
City:		Postcode:
Contact person
You do not have to fill in a contact person data if the data owner is also the contact person.
Name and surname:		Phone:
Note:

You may pay by cards:

MasterCard MasterCard Electronic Maestro VISA

VISA Electron JCB American Express Diners Club International

We provide significant discounts on performed works to medical and education facilities:

ISIC ISIC ISIC

Damaged Device

To speed up our services, please fill in the required information in the most detailed manner possible.

Device type:		other:
Made by:		Model (for example. WD800):
Serial number:		Under guarantee: no yes
Note:
State of device:	Doesn't work Data demaged Knocking
Couse:
other:
Operating System:		other:
File System:		other:
NOTE: If the following two fields are longer than 3 lines, they will not print entirely. However, they will be complete in the e-mail that will arrive to your address after the form is sent.
Details of Defect:
What needs to be recovered:

Diagnostics procedure — Free of charge.

Medium to Store Recovered Data

We will deliver all data recovered on a data medium of your choice – if your device fails completely, we will offer you to purchase, for example, a new disk, but we are also able to store your data on a CD or DVD, or to copy them to your own media or to our hard disk, which we can make available to you for free for 3 business days.

	New device Borrowed HDD Your device CD / DVD
		Other
Model (for example WD800):		Serial number:
	Free for 3 business days.
	Burn CD - 100,- Kč (excluding VAT) Burn DVD - 300,- Kč (excluding VAT)