In-take Form: Let's Get Started! Welcome to Cracked Up Mobile! Please start by filling out this form so we can have all the information we need for your repair or device. Email* Phone*If phone is being repaired and would like us to contact another number please enter in comments. Type of Device* (ex. iPhone 8 plus, iPhone 11, iPad, Xbox, Samsung Note 10, Macbook pro, Other, etc...)Unlock Code/Password We need this to do pre and post repair testing on your device. If there is none or this doesn't apply type "NA" If your code is a pattern, inform a representative. Whats your Fix?*Cracked Screen [Screen Replacement]Broken Back GlassBattery ReplacementCharging PortCracked Lens/CameraData RecoveryWater Damage RecoveryTech Support - Troubleshooting - DiagnosticsHDMI Port Replacement [Computer/Game Console]Hard Drive Replacement [Computer/Game Console]Device Cleaning [Computer/Game Console/Smartphone]Selling or Recycling DeviceBuying a DeviceWarrantyOtherHow can we help?...Choose from drop down.Would you like a new screen protector? Yes Yes - privacy* No iPhone - $10; Samsung - $15; iPad - $20 *Privacy Screen Protectors cost an additional $10 [limited stock, ask about availability before selecting this option]Notes for TechYou can also put a different number to contact in this field.How Did You Hear About Us?* Google Search Meta [Facebook/Instagram] A Friend I'm a returning Customer Other Name of Friend or Other Service AgreementName (First)* Name (Last)* Cracked Up Mobile is authorized to work on my device and I agree that Cracked Up Mobile is NOT liable for ANY secondary breakdowns that can occur during the repair process. That Cracked Up Mobile will take property of my device if I do not claim it and pay in full within 60 days after the completion of my repair. That Cracked Up Mobile assumes that ANY phone brought in with physical damage could have additional issues or parts needed to complete the repair, and is not liable for the additional issues unknown before opening my device. That Cracked Up Mobile is an independent LLC and NOT a franchise of Samsung, Apple, AT&T, etc. That Cracked Up Mobile charges a minimum of $25 labor if they need to open my device for diagnostics* I am the person typed above and I agree to Cracked Up Mobile's Repair Terms & Procedures. Cracked Up Mobile's used device policy comes with a 30 day warranty on non-physical damage repairs and a 14 day return policy. Cracked Up Mobile offers free diagnostics and support during this 14 day period* I am the person typed above and I agree to Cracked Up Mobile's Repair Terms & Procedures. For your security Cracked Up Mobile requires that your device is carrier unlocked and is logged out of your iCloud or Google and Factory reset. This protects your information & identity. If you need assistance with this a Tech can help* I am the person typed above and I agree to Cracked Up Mobile's Repair Terms & Procedures and will assist in any way to ensure my device is unlocked and factory reset. HiddenCost[$] Swipe Down
