Laptopbits Repair Authorisation Form  
  Please print (black and white is fine) and complete this form and enclose it with your machine  
 
  *Items in green are optional.        
  Laptop Make    
 
  Laptop Model     Serial No *          
 
  Power Supply (not cable)        
         
  Carry Case        
 
      Other              
               
 
  Passwords              
  (BIOS and/or Windows Passwords)              
 
  Fault                   
  Description      
                 
 
 
  Your name              
 
  Company name          
 
  Address                
       
               
 
  Telephone                  
       
  Mobile               Need to contact Us?  
 
  Email             01772 454300  
 
 
         
         
  I authorise Laptopbits Limited to examine the above laptop and provide an estimate for repair. I agree that if a repair can be made for £70+VAT or less Laptopbits Limited may proceed with the repair. If the repair cost will exceed £70+VAT an estimate will be provided prior to work being carried out.   
     
  I agree that if at any stage I decide not to proceed with the repair a handling charge of £35+VAT will be incurred and that this charge will include the cost of returning the machine to me. I have read and understood the Repair Terms and Conditions as detailed at http:/www.laptopbits.co.uk/technical/repairs.htm.  
 
  Signed             Date  
 
  Print Name                
 
  If you are sending more than one laptop please complete a separate form for each machine.   
   
  Send machine with this form to:  
  Laptopbits Limited, Midge Hall Farm, Midge Hall Lane, Midge Hall, Lancashire PR26 6TN