Mobile Repair Form

First Name *

Last Name *

Email*

Phone *

Address *

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Make *

Model *

IMEI / Serial No

Colour

Security/Phone Lock

Notify if Quote Exceeds

Fault Details *

Accessories

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This only applies for the device that purchase from TechSurgeon with proof of purchase retained or for re-service device under same fault occur within 30 days.

Invoice No *. (If warranty claim)