Complete this form and send it along with your phone. Once we receive your phone, one of our technicians will contact you with an estimate. Once the repair is authorized and paid for we will complete the repair and send your phone back to you the same or next day.

Liquid damage is the most difficult repair with a 50% chance of recovery. Salt water damage is almost always fatal to your phone. The worst thing you can do after liquid damage is turn on your phone to see if it still works! Instead, remove the battery immediately.

Instructions:
1. Print out and completely fill out all information on this form
2. We do not need you to send your charger.
3. Please remove your SIM card and put it in a safe place before sending your phone to Mobile Madness.
4. Please ship your phone via trackable shipping like USPS Priority mail. UPS, FedEx, etc.
5. Keep a copy of this form and a record of the tracking # given to you by the shipper.
6. Once Mobile Madness has received and evaluated your phone problem you will be contacted with an estimate. No repairs will be completed without your prior authorization and payment.
7. There will be an $8 shipping fee added to your repair charge. If you need overnight shipping there will be an additional $25 fee added to your service fee. Click here for our rates, or feel free to call us for an estimate. (1-866-355-4657 )

WE ACCEPT VISA/MASTERCARD/AMERICAN EXPRESS AND DISCOVER CARDS.

ALL THE BELOW INFORMATION IS REQUIRED!
Customer Name: ______________________________________________

Customer Email: ______________________________________________

Customer Address:_____________________________________________

City, State, Zip: _______________________________________________

Customer Contact #:____________________________________________

Alternate Contact #:____________________________________________

Phone Model:_________________________ Service Provider:_____________________________


Please describe the problems you 're having with your phone:

___________________________________________________________________________________

___________________________________________________________________________________


___________________________________________________________________________________


___________________________________________________________________________________

Ship to:
Mobile Madness
628 N Riverside Suite D
Medford, OR 97501
1-866-355-4657