Form

Repair Appraisal Request Form
Please fill out the following form to help give us an idea of the problems you are experiencing with your faulty console:
Does your console have any of the following issues?
Red Ring of Death

Yes No Unsure
Powering On

Yes No Unsure
Freezing Graphics

Yes No Unsure
Overheating

Yes No Unsure
Disc Scratching

Yes No Unsure
Disc Read Errors

Yes No Unsure
Water Damage

Yes No Unsure
Have you ever opened your console to do any of the following:

Flashing your Disc Drive Hacking your Firmware Replcaced any OEM parts (including Case Mods) Attempted the repair yourself Opened up the console for any other reason
If your console is too costly to repair would you be interested in:

Refurbished Console Offer Salvage Offer
Your Contact Details:
Name*
Email*
Contact Number
If you like, you can submit a photo of your console here...
Your Comments
Should be Empty:

Repair Appraisal Request Form