Elite Glass Gadget Repair Intake Form

Please fill out this form to start your repair process. We'll contact you to confirm details and provide a quote.

Your Information & Device Details

Full Name * Email Address * Phone Number * Device Type * Manufacturer * Device Model (e.g., iPhone 15 Pro) * Serial Number or IMEI (Optional)

Repair Details

Primary Issue * Detailed Description of the Problem * Device Condition *

Powers On Normally Powers On but has Issues Does Not Power On Unknown

Is the device currently backed up?

Yes No Not Sure

We always recommend a backup before any repair. We are not responsible for data loss.

Service Preferences

Desired Service Type

Walk-in (First Available) Schedule an Appointment Mail-in Repair

Preferred Date Preferred Time

How did you hear about us?

* I understand that a technician will diagnose my device and provide a final quote before any work begins. I authorize Elite Glass Gadget to perform the diagnostic.

html Repair Intake Form | Elite Glass Gadget

Elite Glass Gadget Repair Intake Form

Please fill out this form to start your repair process. We'll contact you to confirm details and provide a quote.

Your Information & Device Details

Full Name * Email Address * Phone Number * Device Type * Manufacturer * Device Model (e.g., iPhone 15 Pro) * Serial Number or IMEI (Optional)

Repair Details

Primary Issue * Detailed Description of the Problem * Device Condition *

Powers On Normally Powers On but has Issues Does Not Power On Unknown

Is the device currently backed up?

Yes No Not Sure

We always recommend a backup before any repair. We are not responsible for data loss.

Service Preferences

Desired Service Type

Walk-in (First Available) Schedule an Appointment Mail-in Repair

Preferred Date Preferred Time

How did you hear about us?

* I understand that a technician will diagnose my device and provide a final quote before any work begins. I authorize Elite Glass Gadget to perform the diagnostic.

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Elite Glass & Gadget

WELCOME

Welcome visitors to your site with a short, engaging introduction. Double click to edit and add your own text.

Available Online

Service Title

Summarize what's great about your service. To edit a service's subtitle, click Manage Services and select a service.

Service Location

Available spots

Service Description

Tell clients about what you’re offering and encourage them to book. To add a description, click Manage Services and select a service. Once you’ve created a service, Preview your site to see how it will appear for your clients.

Upcoming Sessions

Wednesday, Jan 14
- 10:00 AM
  45 minutes
  Staff Member

Thursday, Jan 15
- 10:00 AM
  45 minutes
  Staff Member

Friday, Jan 16
- 10:00 AM
  45 minutes
  Staff Member

Saturday, Jan 17
- 10:00 AM
  45 minutes
  Staff Member

Sunday, Jan 18
- 10:00 AM
  45 minutes
  Staff Member

Monday, Jan 19
- 10:00 AM
  45 minutes
  Staff Member

Tuesday, Jan 20
- 10:00 AM
  45 minutes
  Staff Member

Cancellation Policy

Let clients know when services open and close for bookings and how they can cancel or reschedule. To set it up, go to Booking Settings > Booking Policy in your dashboard.

Contact Details

1-234-567890

example@email.com

121 Address Road

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