Company Name

 
Client Name & Surname

 
Address & City

 
Contact Number

 
Device Make / Model

 
Serial / IMEI Number:

 
Password or Pass Code

 
Fault Description *

 
Collection or Drop Off(at our Office) *


 
I hereby agree and accept the terms and conditions of this repair service as listed on the icorporate website - www.icorporate.co.za. *

     
Thanks for completing this typeform
Now create your own — it's free, easy, & beautiful
Create a <strong>typeform</strong>
Powered by Typeform