First and Last Name*

E-mail address*

Address 1*

Address 2

Phone Number*

City*

Province*

Postal Code*

Select the device(s) you would like repaired*

---Apple Device---iPhone 4iPhone 4SiPhone 5iPhone 5CiPhone 5SiPhone SEiPhone 6iPhone 6 PlusiPhone 6SiPhone 6S PlusiPhone 7iPhone 7 PlusiPhone 8iPhone 8 PlusiPhone XiPhone XRiPhone XSiPhone XS MaxiPhone 11iPhone 11 ProiPhone 11 Pro MaxiPhone 12 MiniiPhone 12iPhone 12 ProiPhone 12 Pro MaxiPhone 13 MiniiPhone 13iPhone 13 ProiPhone 13 Pro MaxiPad 2iPad 3iPad 4iPad 5iPad 6iPad 7iPad 8iPad 9iPad 10iPad AiriPad Air 2iPad Air 3iPad Air 4iPad Air 5iPad Pro 9.7iPad Pro 10.5iPad Pro 11iPad Pro 12.9iPad Mini 1iPad Mini 2iPad Mini 3iPad Mini 4iPad Mini 5iPad Mini 6iPod Touch 4iPod Touch 5iPod Touch 6iPod Touch 7

---Samsung Device---Galaxy Note 3Galaxy Note 4Galaxy Note 5Galaxy S4Galaxy S5Galaxy S5 NeoGalaxy S5 MiniGalaxy S5 ActiveGalaxy S6Galaxy S6 EdgeGalaxy S6 Edge PlusGalaxy S7Galaxy S7 Edge PlusGalaxy S8Galaxy S9Galaxy Tab 2Galaxy Tab 3Galaxy Tab 4Galaxy Tab AGalaxy Tab EGalaxy Tab SGalaxy Tab S2

---MacBook Device---MacBookMacBook AirMacBook ProMacBook RetinaMacBook Air RetinaMacBook Pro Retina

Breif problem description

Which describes your problem best ?*

Broken ScreenHome Button Not WorkingWon't Sync / ChargeWon't Power OnPower Button Not Working

Water DamagedBattery Not LastingEarpiece / Speaker ProblemBack Glass BrokenOther

Upload Pictures of Broken Device(s)

All Done!

Print this form now, or print the email copy that you will receive after clicking the "Submit" button, and include it inside your box/package.

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