Date:
Signature:
I grant permission to
LC Technology International, Inc. (“LCTI”) to perform any action they deem necessary to attempt to recover my files and/or data. I understand that this procedure is
a final attempt towards the recovery of data and could result in loss of part, or all, of
the data stored thereon, and that LCTI makes no warranty or guarantee as to the success of its
attempts. Furthermore, I release LCTI from any liability for any data loss, which may occur during, or as a result of, this procedure. I also understand and agree that if data is recovered
from
my media, it is deemed a successful recovery and I am liable and responsible for payment. I also release LCTI from any liability for any theft, damage or destruction to the media
and any other hardware, or other media sent to LCTI in connection with this waiver.
ALL CLAIMS FOR LIABILITY AND/OR LOSS INCLUDING BUT WITHOUT LIMITATION ANY INDIRECT, INCIDENTAL OR CONSEQUENTIAL DAMAGES, WHICH MAY OCCUR AS A RESULT OF
ANY LCTI ACTION (OR INACTION) ARE HEREBY EXPRESSELY WAIVED. I also understand that, even if the data is successfully recovered, there is a possibility that individual files may still
be inaccessible due to the type of damage originally sustained.
In addition, I agree to pay the applicable fee for these services
by LC Technology International, plus shipping and handling expenses as follows:
LCTI will pay for return shipping with a paid recovery through the U.S. Post Office. Expedited shipping, shipping through alternative carriers, shipping insurance, and other shipping related
expenses are the undersigned’s responsibility. I agree to accept the responsibility for shipping the digital media and any additional hardware to LCTI. LCTI will not be responsible for any
damages and theft incurred during the shipment process or claim against such agents shall be solely by and on the behalf of the undersigned. I agree to all of the foregoing conditions:
Liability Waiver - This form must be signed and dated before recovery work can proceed
Digital Upload ($50)
8TB ($200)
4TB ($150)
2TB ($125)
1TB ($100)
External HDD
256GB ($75)
128GB ($55)
64GB ($40)
32GB ($24)
16GB ($16)
8GB ($8)
Return Media Options
USB Drive
Safely
destroy the device
Return the device
Domestic ($10)
International ($45)
Unsuccessful
Recovery
Successful Recovery
Standard shipping is included.
Contact us for expedited rates.
Return Shipping
LC Technology International Inc.
29750 US Hwy 19 North
Suite 310
Clearwater, FL 33761
USA
MAIL TO:
Please use a sturdy mailer or small box to ship your media to us.
Please DO NOT use a letter or envelope as media may be lost or
damaged by postal sorting machines.
Shipping to
LC Technology International
CSV:
Expiry Date:
Credit Card #:
Payment
Information
How was your data lost? Please use back of form if necessary.
No
Yes (+$200)
Do you need broadcast videos (MXF)
recovered?
No
Yes (+$100)
Does your device have physical damage?
The following scenarios require specialized
work for a successful recovery.
Additional Surcharges
Password (if applicable):
Camera/Device model:
Files to recover:
Advanced
$825
$775
$725
$675
$625
$575
$525
Standard
$375
$350
$325
$300
$275
$250
$225
Device Size
2 TB
1 TB
512 GB
256 GB
128 GB
64 GB
32 GB or less
All recoveries begin as Standard recoveries. An Advanced recovery occurs when significant electrical work is required for
data to be
recovered. We will contact you before beginning an Advanced recovery.
Information and Pricing - Pricing is based on the size of your device, not the amount of data on it
E-mail:
City/State/Zip:
Alternate Phone:
Address:
Daytime Phone:
Name:
Customer Information
Flash Memory Recovery Form
Local/International Number: (727) 449-0891
Toll Free Number (US/Canada): (866) 603-2195
E-mail: support@lc-tech.com
LC TECHNOLOGY
