Hard Drive Erasing Form

TALLYN'S HARD DRIVE ERASING SERVICE
Please Print This Page, Fill it Out and Send it in With Your Hard Drive for Erasing.

Customer’s Name:

Studio Name:

Address:

City: State: Zip:

Note: Scott must be able to contact you via phone during the erasing process
Fill in the phone number where he can most likely contact you during the day:

Daytime Phone: ( ) - Cell Phone: ( ) - Evening Phone: ( ) -

E-mail:

Credit Card: _________-__________-__________-__________
Validation Code (3 Digit Number on Back of Card): _________
Expires: _____/_____

HARD DRIVE (Your drive to be erased)

Size of your drive? ______________(GB)

Brand of drive: _______________________

I, the undersigned, understand that by sending my drive in to Tallyn's Drive Erasing Service, I am approving the necessary work to erase it. Once the work has been started, the erasing process is IRREVERSABLE and the data is absolutely UNRECOVERABLE. We will not be held responsible if we are sent a drive in error, or for any errors in customer judgement.

Signed ______________________________________ Date: ___________

Please specify method of return shipping:

Regular UPS Ground

3 Day Select

2 Day Air
Next Day Air

Special Instructions or Comments?

Please Send Hard Drive(s) and This Form To:
Tallyn's Professional Photographic
1609 W. Detweiller Drive
Peoria, Illinois 61615
Attention Scott Tallyn / Hard Drive Erasing Service
Note: Send drive(s) via U.P.S. insured and use plenty of protective packing.

(Phone: 1-800-433-8685 or for Emergencies Call Scott Tallyn at 1-309-696-7575)

* We charge $12.00 for regular U.P.S. shipping here in the continental U.S.