Cracked Device Repair Form

Cracked mobile screenPlease fill out the information below to receive a quote to fix your device.  You may also call us directly at (336) 338-8932.

During business hours we typically respond with a FREE quote within an hour*.  Once you agree to the repairs, we will send out instructions on shipping or setting up an appointment for repairs.  Repairs can take 1-3 days depending on parts available.


 

Customer Information

Your First & Last Name (required):

Address (required):

Your Email (required):

Your Phone (required):

Perferred method of contact:
E-mailPhoneText Message


Device Information

Make (required):

Other Device not listed above:

Model Number (engraved on back of product) (required):

Model Number not listed above:

Device Color (required):

Check to have tempered glass added for more protection (extra $10):
Yes, Add Tempered Glass

Additional Comments or Information:

Promotion Code:

Initial Shipment (what are your plans for initial shipment?):

Return Shipment Request (required):

Is this a corrected repair form to update one recently sent:
YesNo

Submitting this form doesn't obligate you in any way to use our services. You do agree to receive messages about our services, however, which you can opt-out of anytime. We don't like spam, either, and never share your information.

By checking this box you understand and agree to the details of our Terms and Conditions and Privacy Policy of My Computer Solutionz.

Yes, I Agree to These Terms

See Privacy Statement for details on how we protect your personal information.

* We typically respond with a quote within an hour during normal business hours. During holidays and after 3pm on Saturdays, we will respond the next business day. If you need more immediate service after hours, submit a Help Desk ticket here and mark it urgent.