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Data Recovery Contact & Application Form

Please fill out the mandatory items on this form, confirm the agreement, and click “Confirm” button.

*Marked items are entry required


 
 

 example:123-4567


example: TOC Bldg. 6F, 7-22-17 Nishigotanda, Shinagawa-ku

(daytime contact)
 example:0123456789(No hyphen)
 example:0123456789(No hyphen)
 example:xxxxx@xxxx.co.jp
Device/Media *   HDD   NAS   SDD   FDD   CD   DVD   Zip   DAT     MO   IC card   CF   SD   other
Operating System*  Windows XP Windows Vista Windows7 Mac OS-X Other
 introduction magazines search engine other

The Agreement

With respect to initial diagnosis for data recovery from failed media, I agree to the following:
I am the legal owner of this device and have legitimate proprietary rights to all data contained therein. I hereby authorize Global Solution Services Ltd., hereinafter referred to as GSS, to transport, ship and consign the drive/device between the facilities needed. This media is to be sent to GSS for data recovery initial diagnosis and recovery charge estimation. GSS will not perform any more work than the initial diagnosis without my explicit consent. If GSS performs data recovery work as well at my request, I will additionally pay GSS for the recovery work and the new media needed.
GSS will not be legally responsible for the physical functionality of the device (including a hard drive) before, during, or after the initial diagnosis. Nor will GSS be legally responsible for the device if it has been left unattended for 90 days or longer.
GSS will exercise its best efforts with respect to data recovery. GSS will undertake to perform the best data recovery work based on its charge estimate, which is subject to my consent.GSS will deliver recovered data to me in an optimum media, and I will verify the data within ten (10) days. GSS will not accept any complaint or claim about the data that I may submit after the lapse of the ten (10) days.

Aside from the initial diagnosis charge, GSS will charge me for its data recovery service, provided the data recovery is successful. The service charge will be estimated and presented to me with results of the initial diagnosis after completion thereof. GSS agrees to keep in full confidence part or all of the relevant information, data files furnished, or data stored in or recovered from my device. When the data (or device) is recovered, I will pay GSS the full amount of the agreed-on charge in cash or credit card in exchange for the data (or device). I will make such payment in cash or credit card after receipt of an invoice from GSS except as otherwise agreed on in advance.
I will drop my request for data recovery if this is deemed infeasible, in which case I acknowledge I will have only to pay the initial diagnosis charge and no data recovery charge. I will pay for insurance against in-transit damage.

Initial Diagnostic Fee *
For the initial diagnosis, I agree to pay the following amount to GSS directly or by fund transfer to GSS’ designated bank account when submitting this application to GSS: (Please check the appropriate box.)
 HDD/NAS/SSD/FDD/CD/DVD/Zip/DAT/MO/ICcard ¥21,000 (tax included) HDD(Raid connection) ¥31,500 (tax included) HDD dismount ¥8,400 (tax included) Smart Media/Compact Flash/Memory Stick ¥10,500 (tax included)

I will pay the initial diagnostic fee when request.Use of Courier Service

Payment *  Cash on Delivery Credit Card (PayPal)  Bank Transfer
Designated payee bank account
Ordinary deposit account No. 2557917 held in the name of Global Solution Services Ltd. at the Gotanda Branch of Mizuho Banking Corporation.

Agree to the pledge written above, please click "Confirm" button.

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