January 17, 2020 adminramcrllc Customer Intake We collect this information in order to contact you for repair updates. We do not sell your information to 3rd parties. Customer Information Customer Information First Name Last Name Address City/State/Zip Code Phone Number Email Date Device Information Select your device type Desktop Custom Build Laptop Smartphone Tablet All-In-One Other Make HP Dell Lenovo / IBM Acer Asus MSI Gateway Alienware Emachine Samsung Sony Apple iMac Apple Macbook Air Apple Macbook Pro Other Model Number Serial Number Charger Left at store No charger Problem Description Known Issues Description Known or Suspected Issues Hinge Broken Screen Cracked Housing Damage Powerjack Broken No Power Liquid Damage Missing Keys Broken Power Adapter Broken Hard Drive SHOW SUMMARY Some required Fields are emptyPlease check the highlighted fields. Submit