The Cell Specialists Mail-In Repair Order

Date: ___/____/____

Customer Information:

Name: ____________________________________
Address: _________________________________
City: __________________________
State: _________________________
Contact Phone Number __________________________
Email Address __________________________________
Preferred Method of Contact (Check One) : By Phone____ By Email____

Phone Information

ESN/IMEI: ____________________________
Model: ______________________
Password or Lock Code on Phone: ____________________

Repair/Unlock Information

(Please Check All That Apply From the Following)
Unlock :____ Repair:____

Check All Problems Experienced

Problem	Check	Problem	Check	Problem	Check
Not Charging	.	Not Powering On	.	Liquid Damage	.
Bad Mic	.	Bad Loud Speaker	.	Bad Earpiece	.
Bad Camera	.	Bad Keypad	.	Broken Lens	.

Additional Comments : ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________
*Repairing Liquid damaged phones requires extensive cleaning with chemicals. When circuit boards experience liquid damage, and corrosion eats at the components, cleaning the corrosion may cause more circuit damage and there might be a slight chance that the phone may not work properly after this process. I understand this risk and understand that The Cell Specialists cannot be held responsible for any phone that may not function properly after Liquid damage repair.
** We will not be responsible for loss of data

Signature: X_____________________________________

DO NOT FILL THE ITEMS BELOW, THEY ARE FOR OFFICE USE ONLY

REP: ___________________ TECH REP: __________