Kendrick Information Technologies
Ph: 214-773-7377
603 E. Hwy. 67, Suite 103, Duncanville, Tx. 75137
- Customer Drop-off Form -
(to be completed and signed by all customers who drop off equipment at KIT office)
Customer Name:					Hm Ph:		Wk Ph:
Address:					City:		Zip:
Drop-off Date:			Time:		Date Needed:
Computer Brand:			Model:			Color:
List ALL hardware items dropped off:
List ALL Software dropped off:
Explain problems with computer (be specific):
What program do you use to check email?
May we reinstall your Windows operating system if necessary?					________ Yes      ________ No
If so, what files do you need to backup (if any)?
By signing your name below, you are authorizing KIT to perform the tasks necessary to correct your computer problem.  You also understand and agree that KIT and its employees will not be held responsible for loss of data or programs for any reason.  You agree that it is your responsibility to backup your data and that KIT will attempt to do so as a courtesy, but in no way guarantees the safety, accuracy, validity or content of the backup data.  You also understand that reinstalling your operating system will make it necessary to re-install all programs and applications.
Customer Signature						Date