Device intake form

Name: Platinum Tech
Address: 2625 E Greenway Pkwy, Suite 291, Phoenix, AZ, 85032, US
Telephone: 480-408-4476
Price range: $

Print this, fill it in by hand, then photograph it and upload it in the staff portal.

Platinum Tech

Device intake form

Date

Staff

Reference

Customer

Name

Phone

ID type and number

Language

Sell / Buy / Repair / Trade / Thinking

Device type

Model

Storage

Color

IMEI or serial

Condition

Passcode and Apple ID removed? Y / N

Battery health

Accessories included

Issue or request

Asking price

Our offer

Amount paid

Payment method

Follow up date

Notes

I confirm this device is mine to sell or service, and the information above is true.

Customer signature

Staff signature

Platinum Tech, 2625 E Greenway Pkwy, Suite 291, Phoenix, AZ 85032. 480-408-4476.