SERVICE DEPARTMENT

165 -187 Franklin Street Monday to Friday

Wholesalers of Quality Computers & Peripherals ADELAIDE SA 5000 8:30am to 5:30pm
www.leadersystems.com.au ACN. 093 139 354 P:1300 789 701
ABN. 168 984 386 94 F: 08 8112 6080
E:lasp@leadersystems.com.au

RA: LASP Request Form

LASP Repairer:
Repairer Name: Gold City Computers
Address: 86 River Rd Gympie QLD, 4570
Contact no: 0754821919
Email: Terrance@goldcitycomputers.com.au
End User:
End User Name: Rozynski Enterprise
Address:
Contact no: 0407157697
PC Details:
Serial no: E19522
Warranty Type (1YR, 2YR, 3YR): RTB Rate: $80ex
Repair (RTB or Onsite): ONSITE Onsite Rate: $90ex
Model no: Leader Custom
Operating System: Windows 10
Fault: Failing SSD , health 98%
Parts requested: replacement SSD
Person requesting: Terrance Trudgett
PLEASE EMAIL THE COMPLETED FORM to: lasp@leadersystems.com.au
We will respond and dispatch parts requested within 24 hours and supply tracking information.
Please note diagnosis is up to the LASP repair agent and parts will be supplied as requested, payment
will be made once and subsequent part requests will be covered under the one initial payment
SOFTWARE REPAIR AUTHORISATION AND SOFTWARE INDEMNITY AGREEMENT
The repair of your goods may result in the loss of any user-generated data, please ensure you have made a copy of any data saved on your goods.
Leader Computer Systems is not responsible for any backing up or loss of data incurred under any circumstances. The warranty does not cover
problems caused by software or software compatibility with replacement parts. Virus removal, repair to operating system due to virus or any other
software program damage, routine maintenance to virus or threat scanning software (ie : virus definitions, ad-ware, spyware or firewall updates) or
operating system utility management software, or other software damage of any source. No software repair work may be carried out unless this
Authorisation section is signed by the warranty holder or customer representative, and by doing so the customer agrees to pay the advised software
repair rate. Failure to pay Leader for services rendered may result in cancellation of remaining warranty.
Goods presented for repair may be replaced by refurbished goods of the same type rather than being repaired. Refurbished parts may be used to
repair the goods.
I/We hereby acknowledge that I may be liable for charges if this repair is not covered under the terms and conditions of Leader Computer
PC Systems/Notebook Warranty.

Print Name: ______________________________________________________________________________

(Print Full Name)

Signature: _________________________________________________ Date: ____/___/___

SPECIAL INSTRUCTIONS FOR RETURN OF PARTS & REPAIR INVOICE OFFICE USE ONLY TICK
Please return copy of this Repair Form and provide a Repair Invoice which Parts returned
includes the RA# and a Service Report Detailing Parts used and unused. Credit done
Return parts, Repair Invoice & copy of Repair Form using supplied AAE Connote - Invoice received
Ring 13 12 13 to arrange pickup.
To Accounts
NOTE: DO NOT send additional items on return Connotes provided
Please contact Leader Warranty Dept on 1300 789 701 first as
additional freight charges incurred WILL NOT be covered by Leader.

Work Completed to my Satisfaction – To be signed by client

DATE PRINT FULL NAME SIGNATURE