Please, fill in the following information precisely –
you will help to speed up handling of your order!

Order No.:
Your reference:
Partner / Action Code:

Company / Private

Delivery address
*Address: *ZIP:
City: State:
*ID: Tax ID:
**Phone: **Cell phone:
Fax: **E-mail:
Contact person
*First name: *Last name:
Title before name: Title after name:
Phone: Cell phone:
Fax: E-mail:
Invoicing address

Same as delivery address:

*Address: *ZIP:
City: State:
*ID: Tax ID:
**Phone: **Cell phone:
Fax: **E-mail:
*Type: hard disk
disk array (RAID)
flash disk
memory card
Failure symptoms:
Acoustic symptoms
Detection in BIOS
Detection in OS
Files / folders are visible
I don`t know
Failure cause:
Data deletion
Medium formatting
Partitions deletion
System failure
Virus infection
Power failure
Overvoltage / power source
Fall, stroke
Hardware error
No obvious reason
I don`t know
Serial no.:  
When did the problem occur? while running
after turning on
when turned off
I don`t know
Operating system:  
File system: FAT12 / FAT16
Netware traditional
Netware NSS
I don`t know
other / more
Failure description:
Specify the required data as precisely as you can (names of folders, files, file types – e.g. "Documents and Settings", "Outlook mail", "*.doc, *.xls"):
Where to save the recovered data

I will supply my own medium / I require a new medium

            Type: hard disk
USB flash disk
Reception: in person at DATARECOVERY
DATARECOVERY pickup (free in CZ, SK, HU, DE)
by mail / other means
Return: in person at DATARECOVERY
by mail / courier
By submitting this form you express consent with the General Business Conditions:
The data recovery process is governed by enforceable laws of the Czech Republic, especially by the Law on personal data protection, and the Civil Code. After delivery to the Customer, all the entrusted data are deleted within 30 days without any copy or backup.
In respect of the nature of the services, the prices are contractual and individual. Unless agreed otherwise, the payments on behalf of the Service will be cash at the address of the Service, not later than in the moment of release of the recovered data and/or the memory media. Unless agreed otherwise, the transfer expenses are covered by the Customer. No more than one discount per Order can be applied. Unless stated otherwise, all the prices set and communicated by the Service are without VAT. Unless agreed otherwise, the contractual hourly rate in the standard mode is 100 € without VAT (121 € including VAT).
Unless stated otherwise, the Customer imparts the memory media to the Service as non-functional, and orders evaluation of data retrieval possibility for each individual piece. The Service will perform the evaluation free of charge. In case of a request for a realization of the Order outside working hours (even partially), the Customer will be charged a fee of 100 € without VAT (121 € including VAT); in case of a consequent execution of the data recovery in an express mode will be provided a discount of 100 € without VAT (121 € including VAT). Based on the results of the evaluation, the Service will decide if and under what conditions it is possible to perform the data recovery. The consequent order of the data recovery by the Customer shall be done in written form or via internet. In case of avoidance of the Contract, the Customer is obliged to pay any expenses arisen to the Service before the avoidance of the Contract. All the used means, including any partially used materials (such as replacement parts), remain even after the termination of the works in the ownership of the Service.
The Customer takes into account that the provided service is neither a repair nor an adjustment of the item. The Customer gives consent to any required disassembly (opening) of the memory media for the purpose of evaluation of the possibility of data retrieval, or for the data retrieval itself, and the Customer acknowledges that by such intervention a warranty provided by a third party to such memory media can be voided. The Customer also agrees that the Service will dispose of any defective parts, memory media and its accessories after the service. Shall the Customer insist on returning the memory media, he/she is obliged to apply for it in written form no later than on the ordering day. Shall the Customer insist on returning the memory media, he/she is obliged to pick them up no later than 14 days after conveying the results of the evaluation of data retrieval possibility or a notification of the Order completion by the Service. If the Customer fails to pick the Order up in the aforementioned period, the Service will provide the Customer with a legal deadline. If the Customer fails to pick the Order up in the given deadline, the Service can (if the data recovery was not successful) dispose of the media, or (if the data recovery was successful) the Service can charge the Customer a storage fee of 1 € without VAT (1.21 € including VAT) for each initiated day for each individual item stored starting on the 31st day after the first appeal to pick the Order up. Unless stated otherwise, it is understood that the memory media delivered by the Customer for the copy of the recovered data do not contain any data which shall be preserved and that the Service can change their content (overwrite, delete). If the subject data storage is a part of a device capable of an independent operation (e.g. stand-alone data storage units, devices with embedded memory or operating system), the Service can neither guarantee the preservation of nor avoid any changes to the data contained therein; it is strongly recommended that the Customer backs up all accessible data prior to submitting the device to the Service.
All the information on the data recovery is part of the business secret and as such, the Service is not obligated to convey it. The customer acknowledges that all communication (including the communication over a phone) can be recorded and archived by the Service. The customer gives express consent to the Service for the sending of business announcements.
The goods will be returned by the Service only upon a relevant protocol on accepting goods for service or a valid ID.
    * = mandatory field
    ** = at least one of the fields is mandatory

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