1. Name *
2. Phone Number *
3. E-mail *
4. Model Code *
5. Serial number *
6. Date of Purchase *
7. which part you wish to have replacement? BatteryScreenKeyboardLaptop Bodyfanother (Please status)
8. Please status *other part
9. If you have more information to let us know
10. Photo / Video (if you have it)

* Required