Repair Request FormCompany InformationPO/Ticket#/UserNameBusiness Name *Contact Name *Contact Phone *Contact Email *Return Address *City *State *Please select an optionAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettesMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip *RepairsHow Many Devices Need Repair?12345678910Device 1Manufacturer *Please select an optionAppleSamsungMotorolaLGOtherModel Name and NumberIMEI or Serial NumberPasscodeWe do not access any private information, we only need basic access in order to test that all features are working properly before and after the repair.Repair Needed *Choose most relevant. Please add detailed notes...DisplayCharge PortBatteryNo PowerPhysical ButtonsLiquid DamageOtherRepair NotesiCloud or Google Account logged in on this device? *YesNoI don't knowPermission to Wipe Device? *Please YES wipe this deviceNO do not wipe this deviceYes, but only if necessaryIf you are not currently a TMS client or your TMS agreement does include free diagnostics, this will result in a $99.00 per device wipe diagnostic fee *I accept the $99.00 per device wipe feeAdd an AccessoryTempered Glass Screen ProtectorProtective CaseCar ChargerHome ChargerCharging CableIf you are authorized, select any accessories you would like to addDevice 2Manufacturer *Please select an optionAppleSamsungMotorolaLGOtherModel Name and NumberIMEI or Serial NumberPasscodeWe do not access any private information, we only need basic access in order to test that all features are working properly before and after the repair.Repair Needed *Choose most relevant. Please add detailed notes...DisplayCharge PortBatteryNo PowerPhysical ButtonsLiquid DamageOtherRepair NotesiCloud or Google Account logged in on this device? *YesNoI don't knowPermission to Wipe Device? *Please YES wipe this deviceNO do not wipe this deviceYes, but only if necessaryIf you are not currently a TMS client or your TMS agreement does include free diagnostics, this will result in a $99.00 per device wipe diagnostic fee *I accept the $99.00 per device wipe feeAdd an AccessoryTempered Glass Screen ProtectorProtective CaseCar ChargerHome ChargerCharging CableIf you are authorized, select any accessories you would like to addDevice 3Manufacturer *Please select an optionAppleSamsungMotorolaLGOtherModel Name and NumberIMEI or Serial NumberPasscodeWe do not access any private information, we only need basic access in order to test that all features are working properly before and after the repair.Repair Needed *Choose most relevant. Please add detailed notes...DisplayCharge PortBatteryNo PowerPhysical ButtonsLiquid DamageOtherRepair NotesiCloud or Google Account logged in on this device? *YesNoI don't knowPermission to Wipe Device? *Please YES wipe this deviceNO do not wipe this deviceYes, but only if necessaryIf you are not currently a TMS client or your TMS agreement does include free diagnostics, this will result in a $99.00 per device wipe diagnostic fee *I accept the $99.00 per device wipe feeAdd an AccessoryTempered Glass Screen ProtectorProtective CaseCar ChargerHome ChargerCharging CableIf you are authorized, select any accessories you would like to addDevice 4Manufacturer *Please select an optionAppleSamsungMotorolaLGOtherModel Name and NumberIMEI or Serial NumberPasscodeWe do not access any private information, we only need basic access in order to test that all features are working properly before and after the repair.Repair Needed *Choose most relevant. Please add detailed notes...DisplayCharge PortBatteryNo PowerPhysical ButtonsLiquid DamageOtherRepair NotesiCloud or Google Account logged in on this device? *YesNoI don't knowPermission to Wipe Device? *Please YES wipe this deviceNO do not wipe this deviceYes, but only if necessaryIf you are not currently a TMS client or your TMS agreement does include free diagnostics, this will result in a $99.00 per device wipe diagnostic fee *I accept the $99.00 per device wipe feeAdd an AccessoryTempered Glass Screen ProtectorProtective CaseCar ChargerHome ChargerCharging CableIf you are authorized, select any accessories you would like to addDevice 5Manufacturer *Please select an optionAppleSamsungMotorolaLGOtherModel Name and NumberIMEI or Serial NumberPasscodeWe do not access any private information, we only need basic access in order to test that all features are working properly before and after the repair.Repair Needed *Choose most relevant. Please add detailed notes...DisplayCharge PortBatteryNo PowerPhysical ButtonsLiquid DamageOtherRepair NotesiCloud or Google Account logged in on this device? *YesNoI don't knowPermission to Wipe Device? *Please YES wipe this deviceNO do not wipe this deviceYes, but only if necessaryIf you are not currently a TMS client or your TMS agreement does include free diagnostics, this will result in a $99.00 per device wipe diagnostic fee *I accept the $99.00 per device wipe feeAdd an AccessoryTempered Glass Screen ProtectorProtective CaseCar ChargerHome ChargerCharging CableIf you are authorized, select any accessories you would like to addDevice 6Manufacturer *Please select an optionAppleSamsungMotorolaLGOtherModel Name and NumberIMEI or Serial NumberPasscodeWe do not access any private information, we only need basic access in order to test that all features are working properly before and after the repair.Repair Needed *Choose most relevant. Please add detailed notes...DisplayCharge PortBatteryNo PowerPhysical ButtonsLiquid DamageOtherRepair NotesiCloud or Google Account logged in on this device? *YesNoI don't knowPermission to Wipe Device? *Please YES wipe this deviceNO do not wipe this deviceYes, but only if necessaryIf you are not currently a TMS client or your TMS agreement does include free diagnostics, this will result in a $99.00 per device wipe diagnostic fee *I accept the $99.00 per device wipe feeAdd an AccessoryTempered Glass Screen ProtectorProtective CaseCar ChargerHome ChargerCharging CableIf you are authorized, select any accessories you would like to addDevice 7Manufacturer *Please select an optionAppleSamsungMotorolaLGOtherModel Name and NumberIMEI or Serial NumberPasscodeWe do not access any private information, we only need basic access in order to test that all features are working properly before and after the repair.Repair Needed *Choose most relevant. Please add detailed notes...DisplayCharge PortBatteryNo PowerPhysical ButtonsLiquid DamageOtherRepair NotesiCloud or Google Account logged in on this device? *YesNoI don't knowPermission to Wipe Device? *Please YES wipe this deviceNO do not wipe this deviceYes, but only if necessaryIf you are not currently a TMS client or your TMS agreement does include free diagnostics, this will result in a $99.00 per device wipe diagnostic fee *I accept the $99.00 per device wipe feeAdd an AccessoryTempered Glass Screen ProtectorProtective CaseCar ChargerHome ChargerCharging CableIf you are authorized, select any accessories you would like to addDevice 8Manufacturer *Please select an optionAppleSamsungMotorolaLGOtherModel Name and NumberIMEI or Serial NumberPasscodeWe do not access any private information, we only need basic access in order to test that all features are working properly before and after the repair.Repair Needed *Choose most relevant. Please add detailed notes...DisplayCharge PortBatteryNo PowerPhysical ButtonsLiquid DamageOtherRepair NotesiCloud or Google Account logged in on this device? *YesNoI don't knowPermission to Wipe Device? *Please YES wipe this deviceNO do not wipe this deviceYes, but only if necessaryIf you are not currently a TMS client or your TMS agreement does include free diagnostics, this will result in a $99.00 per device wipe diagnostic fee *I accept the $99.00 per device wipe feeAdd an AccessoryTempered Glass Screen ProtectorProtective CaseCar ChargerHome ChargerCharging CableIf you are authorized, select any accessories you would like to addDevice 9Manufacturer *Please select an optionAppleSamsungMotorolaLGOtherModel Name and NumberIMEI or Serial NumberPasscodeWe do not access any private information, we only need basic access in order to test that all features are working properly before and after the repair.Repair Needed *Choose most relevant. Please add detailed notes...DisplayCharge PortBatteryNo PowerPhysical ButtonsLiquid DamageOtherRepair NotesiCloud or Google Account logged in on this device? *YesNoI don't knowPermission to Wipe Device? *Please YES wipe this deviceNO do not wipe this deviceYes, but only if necessaryIf you are not currently a TMS client or your TMS agreement does include free diagnostics, this will result in a $99.00 per device wipe diagnostic fee *I accept the $99.00 per device wipe feeAdd an AccessoryTempered Glass Screen ProtectorProtective CaseCar ChargerHome ChargerCharging CableIf you are authorized, select any accessories you would like to addDevice 10Manufacturer *Please select an optionAppleSamsungMotorolaLGOtherModel Name and NumberIMEI or Serial NumberPasscodeWe do not access any private information, we only need basic access in order to test that all features are working properly before and after the repair.Repair Needed *Choose most relevant. Please add detailed notes...DisplayCharge PortBatteryNo PowerPhysical ButtonsLiquid DamageOtherRepair NotesiCloud or Google Account logged in on this device? *YesNoI don't knowPermission to Wipe Device? *Please YES wipe this deviceNO do not wipe this deviceYes, but only if necessaryIf you are not currently a TMS client or your TMS agreement does include free diagnostics, this will result in a $99.00 per device wipe diagnostic fee *I accept the $99.00 per device wipe feeAdd an AccessoryTempered Glass Screen ProtectorProtective CaseCar ChargerHome ChargerCharging CableIf you are authorized, select any accessories you would like to addShipping OptionsPlease send me a prepaid shipping label.I would like to provide my own shipping arrangements.I would like to bring device(s) to a physical store.Email AddressWe will send you a prepaid shipping label via email.Shipping AddressTotal Mobility SolutionsAttn: Corporate Accounts2000 E. Rio Salado Pkwy., Suite 1063Tempe, AZ 85281Upon receiving your repair request, your customer representative will send you a Record ID. For faster processing, please include this Record ID inside the shipment with your device. You will be notified upon reception of the shipment.All Mobile Matters LocationTempe Marketplace: 2000 E. Rio Salado Pkwy., Suite 1063, Tempe, AZ 85281Chandler Fashion Center: 3111 W. Chandler Blvd., Chandler, AZ 85226Superstition Springs Center: 6555 E. Southern Ave., #1110, Mesa, AZ 85206Tuscon Mall: 4500 N. Oracle Rd., Suite 305, Tucson, AZ 85705Park Place: 5870 E. Broadway Blvd., #558, Tucson, AZ 85711Please choose a date and time for delivery.Hour-120102030405060708091011Minutes-00153045AMPMSubmit Repair Request
