Your Full Name*

Company Name

Address*

City*

State*

Zipcode*

Telephone*

Email*

Who referred you to us? we want to thank them

What Kind of Recovery is this?*
Single Hard DriveFlash/SSDRAID
Manufacturer

Drive capacity

Serial Number

My Drive Was Dropped*
YesNo
My Drive Was Erased or Reformatted*
YesNo
My Drive Has a Previous Recovery Attempt*
YesNo
Is Your Drive Password Protected*
YesNo
Options for the return of your recovered date
I will provide a target-driveI will purchase a drive @ Wholesale computers
By submitting this form I agree to allow Wholesale Computers to perform the requested work.
First Name:*
Last Name:*