MAIL IN Thanks for the opportunity to prove ourselves to you and service your device! Please fill out the simple, fast form below. 1 Customer Information 2 Device and Authorization NameFirstLastEmail*Contact Phone*Where should we return your phone?*Street AddressCityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificStateZIP Code MAKEThis is the manufacturer of your phone. For instance, Apple, HTC, Samsung, Motorola, ETC.MODELThis is the model of phone. For instance, iPhone 4, Blackberry Torch, HTC EVO 4G, etc.Was your phone damaged by liquid?*YesPossibly but it was a long time ago.NoCall us at 918-955-1100 ext. 3 so that a technician can explain the liquid damage process. Liquid damaged phones tend to take longer to treat and occasionally require additional parts. If you send us the phone without calling and you decide that you do not want us to fix your phone after speaking with our techs, we will ship your phone back to you USPS for $5.Describe the problem you are having.What should Phone Doctors do when we receive your device?*Repair it and call me when it is finished.Call when phone arrives and give me an estimate.I received a verbal estimate, please repair it and call when it is finished.Enter amount quotedQuoted ByNOTE: Please be sure that you send us the battery to your phone as well as any pass codes. We need this in order to test your phone before returning it to you. We keep your information confidential.