www.dnasystems.ca
Open in
urlscan Pro
2607:f1c0:100f:f000::21f
Public Scan
Submitted URL: https://link.edgepilot.com/s/bfef1486/0ZcuFmn6_0aTlxYO7gXGsw?u=https://www.dnasystems.ca/
Effective URL: https://www.dnasystems.ca/
Submission: On August 10 via manual from CA — Scanned from CA
Effective URL: https://www.dnasystems.ca/
Submission: On August 10 via manual from CA — Scanned from CA
Form analysis
3 forms found in the DOMGET https://www.dnasystems.ca/
<form method="get" class="form-searchform" action="https://www.dnasystems.ca/">
<svg class="icon_search" width="26" viewBox="0 0 26 26" aria-label="search icon">
<defs>
<style>
.path {
fill: none;
stroke: #000;
stroke-miterlimit: 10;
stroke-width: 1.5px;
}
</style>
</defs>
<circle class="path" cx="11.35" cy="11.35" r="6"></circle>
<line class="path" x1="15.59" y1="15.59" x2="20.65" y2="20.65"></line>
</svg>
<span class="mfn-close-icon icon_close" tabindex="0"><span class="icon">✕</span></span>
<input type="text" class="field" name="s" autocomplete="off" placeholder="Enter your search" aria-label="Enter your search">
<input type="submit" class="display-none" value="" aria-label="Search">
</form>
POST
<form id="forminator-module-179" class="forminator-ui forminator-custom-form forminator-custom-form-179 forminator-design--bold forminator_ajax" method="post" data-forminator-render="0" data-form-id="179" data-design="bold" data-grid="open"
enctype="multipart/form-data" style="" data-uid="66b7078dc6a1b" novalidate="novalidate">
<div role="alert" aria-live="polite" class="forminator-response-message forminator-error" aria-hidden="true"></div>
<div class="forminator-pagination-progress" aria-hidden="true">
<div class="forminator-progress-label">50%</div>
<div class="forminator-progress-bar"><span style="width: 50%;"></span></div>
</div>
<div tabindex="0" role="tabpanel" id="forminator-custom-form-179--page-0" class="forminator-pagination forminator-pagination-start" aria-labelledby="forminator-custom-form-179--page-0-label" data-step="0" data-label="Finish"
data-name="page-break-1" style="height: auto; opacity: 1; visibility: visible;">
<div class="forminator-pagination--content" style="">
<div class="forminator-row">
<div id="html-1" class="forminator-field-html forminator-col forminator-col-12 ">
<div class="forminator-field forminator-merge-tags" data-field="html-1">
<h1 style="font-size: 40;color: #008bff">Repair Form</h1>
</div>
</div>
</div>
<div class="forminator-row">
<div id="name-1" class="forminator-field-name forminator-col forminator-col-12 ">
<div class="forminator-row forminator-no-margin" data-multiple="true">
<div class="forminator-col forminator-col-md-6">
<div class="forminator-field"><label for="forminator-field-first-name-1_66b7078dc6a1b" id="forminator-field-first-name-1_66b7078dc6a1b-label" class="forminator-label">First Name <span class="forminator-required">*</span></label><input
type="text" name="name-1-first-name" placeholder="First Name" id="forminator-field-first-name-1_66b7078dc6a1b" class="forminator-input" aria-required="true" data-multi="1" value=""></div>
</div>
<div class="forminator-col forminator-col-md-6">
<div class="forminator-field"><label for="forminator-field-last-name-1_66b7078dc6a1b" id="forminator-field-last-name-1_66b7078dc6a1b-label" class="forminator-label">Last Name <span class="forminator-required">*</span></label><input
type="text" name="name-1-last-name" placeholder="Last Name" id="forminator-field-last-name-1_66b7078dc6a1b" class="forminator-input" aria-required="true" data-multi="1" value=""></div>
</div>
</div>
</div>
</div>
<div class="forminator-row">
<div id="email-1" class="forminator-field-email forminator-col forminator-col-12 ">
<div class="forminator-field"><label for="forminator-field-email-1_66b7078dc6a1b" id="forminator-field-email-1_66b7078dc6a1b-label" class="forminator-label">Email Address <span class="forminator-required">*</span></label><input type="email"
name="email-1" value="" placeholder="Your Preferred Email Address" id="forminator-field-email-1_66b7078dc6a1b" class="forminator-input forminator-email--field" data-required="1" aria-required="true"></div>
</div>
</div>
<div class="forminator-row">
<div id="phone-1" class="forminator-field-phone forminator-col forminator-col-12 ">
<div class="forminator-field"><label for="forminator-field-phone-1_66b7078dc6a1b" id="forminator-field-phone-1_66b7078dc6a1b-label" class="forminator-label">Phone <span class="forminator-required">*</span></label><input type="text"
name="phone-1" value="" placeholder="Contact Number #" id="forminator-field-phone-1_66b7078dc6a1b" class="forminator-input forminator-field--phone" data-required="1" aria-required="true" autocomplete="off"></div>
</div>
</div>
<div class="forminator-row">
<div id="address-1" class="forminator-field-address forminator-col forminator-col-12 ">
<div class="forminator-row">
<div id="address-1-street_address" class="forminator-col">
<div class="forminator-field"><label for="forminator-field-address-1-street_address_66b7078dc6a1b" id="forminator-field-address-1-street_address_66b7078dc6a1b-label" class="forminator-label">Street Address <span
class="forminator-required">*</span></label><input type="text" name="address-1-street_address" placeholder="" id="forminator-field-address-1-street_address_66b7078dc6a1b" class="forminator-input" data-required="1"
aria-required="true" value=""></div>
</div>
</div>
<div class="forminator-row">
<div id="address-1-address_line" class="forminator-col">
<div class="forminator-field"><label for="forminator-field-address-1-address_line_66b7078dc6a1b" id="forminator-field-address-1-address_line_66b7078dc6a1b-label" class="forminator-label">Apartment, suite, etc</label><input type="text"
name="address-1-address_line" placeholder="" id="forminator-field-address-1-address_line_66b7078dc6a1b" class="forminator-input" data-required="" aria-required="false" value=""></div>
</div>
</div>
<div class="forminator-row" data-multiple="false">
<div id="address-1-city" class="forminator-col forminator-col-12">
<div class="forminator-field"><label for="forminator-field-address-1-city_66b7078dc6a1b" id="forminator-field-address-1-city_66b7078dc6a1b-label" class="forminator-label">City <span class="forminator-required">*</span></label><input
type="text" name="address-1-city" placeholder="" id="forminator-field-address-1-city_66b7078dc6a1b" class="forminator-input" data-required="1" aria-required="true" value=""></div>
</div>
</div>
<div class="forminator-row" data-multiple="false">
<div id="address-1-zip" class="forminator-col forminator-col-12">
<div class="forminator-field"><label for="forminator-field-address-1-zip_66b7078dc6a1b" id="forminator-field-address-1-zip_66b7078dc6a1b-label" class="forminator-label">Postal Code <span
class="forminator-required">*</span></label><input type="text" name="address-1-zip" placeholder="" id="forminator-field-address-1-zip_66b7078dc6a1b" class="forminator-input" value=""></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div tabindex="0" role="tabpanel" id="forminator-custom-form-179--page-1" class="forminator-pagination" aria-labelledby="forminator-custom-form-179--page-1-label" aria-hidden="true" data-step="1" data-label="Page 1" data-name="" hidden="hidden"
style="height: 0px; opacity: 0; visibility: hidden;">
<div class="forminator-pagination--content" style="display: none;">
<div class="forminator-row">
<div id="select-1" class="forminator-field-select forminator-col forminator-col-12 ">
<div class="forminator-field"><label for="forminator-form-179__field--select-1_66b7078dc6a1b" id="forminator-form-179__field--select-1_66b7078dc6a1b-label" class="forminator-label">Type Of Device</label><select
id="forminator-form-179__field--select-1_66b7078dc6a1b" class="forminator-select--field forminator-select2 forminator-select2-multiple select2-hidden-accessible forminator-screen-reader-only" data-required="" name="select-1"
data-default-value="" data-hidden-behavior="zero" data-placeholder="Type Of Device" data-search="false" data-search-placeholder="Type Of Device" data-checkbox="false" data-allow-clear="false"
aria-labelledby="forminator-form-179__field--select-1_66b7078dc6a1b-label" aria-describedby="forminator-form-179__field--select-1_66b7078dc6a1b-description" tabindex="-1" aria-hidden="true"
data-select2-id="select2-data-forminator-form-179__field--select-1_66b7078dc6a1b">
<option value="" data-select2-id="select2-data-15-3efq">Type Of Device</option>
<option value="one" data-calculation="0">Desktop - Apple</option>
<option value="two" data-calculation="0">Desktop - Microsoft</option>
<option value="Laptop---Apple" data-calculation="0">Laptop - Apple</option>
<option value="Laptop---Microsoft" data-calculation="0">Laptop - Microsoft</option>
<option value="Hard-Drive---Apple" data-calculation="0">Hard Drive - Apple</option>
<option value="Hard-Drive---Microsoft" data-calculation="0">Hard Drive - Microsoft</option>
<option value="USB-Key" data-calculation="0">USB Key</option>
<option value="SD-Card" data-calculation="0">SD Card</option>
<option value="Other" data-calculation="0">Other</option>
</select><span class="select2 select2-container forminator-select" dir="ltr" data-select2-id="select2-data-14-h4c3" style="width: 230px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-describedby="forminator-form-179__field--select-1_66b7078dc6a1b-description"
aria-labelledby="select2-forminator-form-179__field--select-1_66b7078dc6a1b-container" aria-controls="select2-forminator-form-179__field--select-1_66b7078dc6a1b-container"><span class="select2-selection__rendered"
id="select2-forminator-form-179__field--select-1_66b7078dc6a1b-container" role="textbox" aria-readonly="true" title="Type Of Device"><span class="select2-selection__placeholder">Type Of Device</span></span><span
class="select2-selection__arrow" role="presentation"><span class="forminator-icon-chevron-down" aria-hidden="true"></span></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span><span
id="forminator-form-179__field--select-1_66b7078dc6a1b-description" class="forminator-description">Tell Us What Your Dropping Off / We Are Picking Up</span></div>
</div>
</div>
<div class="forminator-row">
<div id="text-1" class="forminator-field-text forminator-col forminator-col-12 ">
<div class="forminator-field"><label for="forminator-field-text-1_66b7078dc6a1b" id="forminator-field-text-1_66b7078dc6a1b-label" class="forminator-label">Login Password</label><input type="text" name="text-1" value=""
placeholder="Type Here" id="forminator-field-text-1_66b7078dc6a1b" class="forminator-input forminator-name--field" data-required="" aria-describedby="forminator-field-text-1_66b7078dc6a1b-description"><span
id="forminator-field-text-1_66b7078dc6a1b-description" class="forminator-description">We may require the device password (We will respect your decision if you decline!)</span></div>
</div>
</div>
<div class="forminator-row">
<div id="checkbox-1" class="forminator-field-checkbox forminator-col forminator-col-12 ">
<div role="group" class="forminator-field required" aria-labelledby="forminator-checkbox-group-66b7078dc6a1b-label"><span id="forminator-checkbox-group-66b7078dc6a1b-label" class="forminator-label">Preferred Web Browser <span
class="forminator-required">*</span></span><label id="forminator-field-checkbox-1-1-66b7078dc6a1b-label" for="forminator-field-checkbox-1-1-66b7078dc6a1b"
class="forminator-checkbox forminator-has_image forminator-has_box forminator-checkbox-inline" title="Firefox"><input type="checkbox" name="checkbox-1[]" value="one" id="forminator-field-checkbox-1-1-66b7078dc6a1b"
aria-labelledby="forminator-field-checkbox-1-1-66b7078dc6a1b-label" data-calculation="0" data-hidden-behavior="zero" aria-describedby="forminator-field-checkbox-1-66b7078dc6a1b-description"><span class="forminator-checkbox-box"
aria-hidden="true"></span><span class="forminator-checkbox-label">Firefox</span><span class="forminator-checkbox-image" aria-hidden="true"><span
style="background-image: url(https://www.dnasystems.ca/wp-content/uploads/2024/02/firefox.png);"></span></span></label><label id="forminator-field-checkbox-1-2-66b7078dc6a1b-label" for="forminator-field-checkbox-1-2-66b7078dc6a1b"
class="forminator-checkbox forminator-has_image forminator-has_box forminator-checkbox-inline" title="Google Chrome"><input type="checkbox" name="checkbox-1[]" value="two" id="forminator-field-checkbox-1-2-66b7078dc6a1b"
aria-labelledby="forminator-field-checkbox-1-2-66b7078dc6a1b-label" data-calculation="0" data-hidden-behavior="zero" aria-describedby="forminator-field-checkbox-1-66b7078dc6a1b-description"><span class="forminator-checkbox-box"
aria-hidden="true"></span><span class="forminator-checkbox-label">Google Chrome</span><span class="forminator-checkbox-image" aria-hidden="true"><span
style="background-image: url(https://www.dnasystems.ca/wp-content/uploads/2024/02/chrome.png);"></span></span></label><label id="forminator-field-checkbox-1-3-66b7078dc6a1b-label" for="forminator-field-checkbox-1-3-66b7078dc6a1b"
class="forminator-checkbox forminator-has_image forminator-has_box forminator-checkbox-inline" title="Microsoft Edge"><input type="checkbox" name="checkbox-1[]" value="Microsoft-Edge" id="forminator-field-checkbox-1-3-66b7078dc6a1b"
aria-labelledby="forminator-field-checkbox-1-3-66b7078dc6a1b-label" data-calculation="0" data-hidden-behavior="zero" aria-describedby="forminator-field-checkbox-1-66b7078dc6a1b-description"><span class="forminator-checkbox-box"
aria-hidden="true"></span><span class="forminator-checkbox-label">Microsoft Edge</span><span class="forminator-checkbox-image" aria-hidden="true"><span
style="background-image: url(https://www.dnasystems.ca/wp-content/uploads/2024/02/microsoft.png);"></span></span></label><label id="forminator-field-checkbox-1-4-66b7078dc6a1b-label" for="forminator-field-checkbox-1-4-66b7078dc6a1b"
class="forminator-checkbox forminator-has_image forminator-has_box forminator-checkbox-inline" title="Safari"><input type="checkbox" name="checkbox-1[]" value="Safari" id="forminator-field-checkbox-1-4-66b7078dc6a1b"
aria-labelledby="forminator-field-checkbox-1-4-66b7078dc6a1b-label" data-calculation="0" data-hidden-behavior="zero" aria-describedby="forminator-field-checkbox-1-66b7078dc6a1b-description"><span class="forminator-checkbox-box"
aria-hidden="true"></span><span class="forminator-checkbox-label">Safari</span><span class="forminator-checkbox-image" aria-hidden="true"><span
style="background-image: url(https://www.dnasystems.ca/wp-content/uploads/2024/02/safari.png);"></span></span></label><span id="forminator-field-checkbox-1-66b7078dc6a1b-description" class="forminator-description">Please Select your
preferred web browser</span></div>
</div>
</div>
<div class="forminator-row">
<div id="checkbox-2" class="forminator-field-checkbox forminator-col forminator-col-6 ">
<div role="group" class="forminator-field" aria-labelledby="forminator-checkbox-group-66b7078dc6a1b-label"><span id="forminator-checkbox-group-66b7078dc6a1b-label" class="forminator-label">How did you find us?</span><label
id="forminator-field-checkbox-2-1-66b7078dc6a1b-label" for="forminator-field-checkbox-2-1-66b7078dc6a1b" class="forminator-checkbox forminator-checkbox-inline" title="Referral"><input type="checkbox" name="checkbox-2[]" value="one"
id="forminator-field-checkbox-2-1-66b7078dc6a1b" aria-labelledby="forminator-field-checkbox-2-1-66b7078dc6a1b-label" data-calculation="0" data-hidden-behavior="zero"><span class="forminator-checkbox-box"
aria-hidden="true"></span><span class="forminator-checkbox-label">Referral</span></label><label id="forminator-field-checkbox-2-2-66b7078dc6a1b-label" for="forminator-field-checkbox-2-2-66b7078dc6a1b"
class="forminator-checkbox forminator-checkbox-inline" title="Internet Search"><input type="checkbox" name="checkbox-2[]" value="two" id="forminator-field-checkbox-2-2-66b7078dc6a1b"
aria-labelledby="forminator-field-checkbox-2-2-66b7078dc6a1b-label" data-calculation="0" data-hidden-behavior="zero"><span class="forminator-checkbox-box" aria-hidden="true"></span><span class="forminator-checkbox-label">Internet
Search</span></label></div>
</div>
<div id="text-2" class="forminator-field-text forminator-col forminator-col-6 ">
<div class="forminator-field"><label for="forminator-field-text-2_66b7078dc6a1b" id="forminator-field-text-2_66b7078dc6a1b-label" class="forminator-label">Other</label><input type="text" name="text-2" value="" placeholder="Please tell us"
id="forminator-field-text-2_66b7078dc6a1b" class="forminator-input forminator-name--field" data-required=""></div>
</div>
</div>
<div class="forminator-row">
<div id="consent-1" class="forminator-field-consent forminator-col forminator-col-12 ">
<div class="forminator-field"><label for="forminator-field-consent-1_66b7078dc6a1b" id="forminator-field-consent-1_66b7078dc6a1b-label" class="forminator-label">Complete Diagnostic Consent <span class="forminator-required">*</span></label>
<div class="forminator-checkbox__wrapper"><label for="forminator-field-consent-1_66b7078dc6a1b" id="forminator-field-consent-1_66b7078dc6a1b__label" class="forminator-checkbox forminator-consent" style="margin: 0;"><input type="checkbox"
name="consent-1" id="forminator-field-consent-1_66b7078dc6a1b" value="checked" aria-labelledby="forminator-field-consent-1_66b7078dc6a1b-label" aria-describedby="forminator-field-consent-1_66b7078dc6a1b__description"
data-required="true" aria-required="true"><span class="forminator-checkbox-box" aria-hidden="true"></span></label>
<div id="forminator-field-consent-1_66b7078dc6a1b__description" class="forminator-checkbox__label forminator-consent__label">
<p>I authorize DNA Systems to do a full system diagnostic on my hardware with a fee of $60. If the problem is related to a hard drive, then there will be a $100 diagnostic fee!</p>
</div>
</div>
</div>
</div>
</div>
<div class="forminator-row">
<div id="html-2" class="forminator-field-html forminator-col forminator-col-12 ">
<div class="forminator-field forminator-merge-tags" data-field="html-2"><label class="forminator-label">PLEASE READ BEFORE HANDING OVER EQUIPMENT</label></div>
</div>
</div>
<div class="forminator-row">
<div id="consent-2" class="forminator-field-consent forminator-col forminator-col-12 ">
<div class="forminator-field"><label for="forminator-field-consent-2_66b7078dc6a1b" id="forminator-field-consent-2_66b7078dc6a1b-label" class="forminator-label">Licence Software <span class="forminator-required">*</span></label>
<div class="forminator-checkbox__wrapper"><label for="forminator-field-consent-2_66b7078dc6a1b" id="forminator-field-consent-2_66b7078dc6a1b__label" class="forminator-checkbox forminator-consent" style="margin: 0;"><input type="checkbox"
name="consent-2" id="forminator-field-consent-2_66b7078dc6a1b" value="checked" aria-labelledby="forminator-field-consent-2_66b7078dc6a1b-label" aria-describedby="forminator-field-consent-2_66b7078dc6a1b__description"
data-required="true" aria-required="true"><span class="forminator-checkbox-box" aria-hidden="true"></span></label>
<div id="forminator-field-consent-2_66b7078dc6a1b__description" class="forminator-checkbox__label forminator-consent__label">
<p><span class="forminator-checkbox-label">Please ensure that you have all licensing documentation available for any licensed software that is on your system. Some repairs may require us to completely erase all system data. Without
these licenses, we may not to be able to reinstall the software. Therefore we cannot guarantee software without licensing will work after repairs are completed.</span></p>
</div>
</div>
</div>
</div>
</div>
<div class="forminator-row">
<div id="consent-3" class="forminator-field-consent forminator-col forminator-col-12 ">
<div class="forminator-field"><label for="forminator-field-consent-3_66b7078dc6a1b" id="forminator-field-consent-3_66b7078dc6a1b-label" class="forminator-label">Power Adapters <span class="forminator-required">*</span></label>
<div class="forminator-checkbox__wrapper"><label for="forminator-field-consent-3_66b7078dc6a1b" id="forminator-field-consent-3_66b7078dc6a1b__label" class="forminator-checkbox forminator-consent" style="margin: 0;"><input type="checkbox"
name="consent-3" id="forminator-field-consent-3_66b7078dc6a1b" value="checked" aria-labelledby="forminator-field-consent-3_66b7078dc6a1b-label" aria-describedby="forminator-field-consent-3_66b7078dc6a1b__description"
data-required="true" aria-required="true"><span class="forminator-checkbox-box" aria-hidden="true"></span></label>
<div id="forminator-field-consent-3_66b7078dc6a1b__description" class="forminator-checkbox__label forminator-consent__label">
<p><span class="forminator-checkbox-label">Please keep possession of all power adapters, unless specially requested.</span></p>
</div>
</div>
</div>
</div>
</div>
<div class="forminator-row">
<div id="consent-4" class="forminator-field-consent forminator-col forminator-col-12 ">
<div class="forminator-field"><label for="forminator-field-consent-4_66b7078dc6a1b" id="forminator-field-consent-4_66b7078dc6a1b-label" class="forminator-label">Hard Drives <span class="forminator-required">*</span></label>
<div class="forminator-checkbox__wrapper"><label for="forminator-field-consent-4_66b7078dc6a1b" id="forminator-field-consent-4_66b7078dc6a1b__label" class="forminator-checkbox forminator-consent" style="margin: 0;"><input type="checkbox"
name="consent-4" id="forminator-field-consent-4_66b7078dc6a1b" value="checked" aria-labelledby="forminator-field-consent-4_66b7078dc6a1b-label" aria-describedby="forminator-field-consent-4_66b7078dc6a1b__description"
data-required="true" aria-required="true"><span class="forminator-checkbox-box" aria-hidden="true"></span></label>
<div id="forminator-field-consent-4_66b7078dc6a1b__description" class="forminator-checkbox__label forminator-consent__label">
<p><span class="forminator-checkbox-label">External hard drives are considered separate equipment from any system and the addition of external harddrives will require additional hardware forms</span></p>
</div>
</div>
</div>
</div>
</div>
<div class="forminator-row">
<div id="html-3" class="forminator-field-html forminator-col forminator-col-12 ">
<div class="forminator-field forminator-merge-tags" data-field="html-3"><label class="forminator-label">DISCLAIMER</label></div>
</div>
</div>
<div class="forminator-row">
<div id="consent-5" class="forminator-field-consent forminator-col forminator-col-12 ">
<div class="forminator-field"><label for="forminator-field-consent-5_66b7078dc6a1b" id="forminator-field-consent-5_66b7078dc6a1b-label" class="forminator-label">Backups <span class="forminator-required">*</span></label>
<div class="forminator-checkbox__wrapper"><label for="forminator-field-consent-5_66b7078dc6a1b" id="forminator-field-consent-5_66b7078dc6a1b__label" class="forminator-checkbox forminator-consent" style="margin: 0;"><input type="checkbox"
name="consent-5" id="forminator-field-consent-5_66b7078dc6a1b" value="checked" aria-labelledby="forminator-field-consent-5_66b7078dc6a1b-label" aria-describedby="forminator-field-consent-5_66b7078dc6a1b__description"
data-required="true" aria-required="true"><span class="forminator-checkbox-box" aria-hidden="true"></span></label>
<div id="forminator-field-consent-5_66b7078dc6a1b__description" class="forminator-checkbox__label forminator-consent__label">
<p><span class="forminator-checkbox-label">Regarding data backup, we can only backup files like pictures, documents, movies, & music. Regarding software programs, we are not able to back up programs without licenses due to
licensing agreements with software owners. We will reinstall programs if the proper licenses are provided</span></p>
</div>
</div>
</div>
</div>
</div>
<div class="forminator-row">
<div id="consent-7" class="forminator-field-consent forminator-col forminator-col-12 ">
<div class="forminator-field"><label for="forminator-field-consent-7_66b7078dc6a1b" id="forminator-field-consent-7_66b7078dc6a1b-label" class="forminator-label">iMacs</label>
<div class="forminator-checkbox__wrapper"><label for="forminator-field-consent-7_66b7078dc6a1b" id="forminator-field-consent-7_66b7078dc6a1b__label" class="forminator-checkbox forminator-consent" style="margin: 0;"><input type="checkbox"
name="consent-7" id="forminator-field-consent-7_66b7078dc6a1b" value="checked" aria-labelledby="forminator-field-consent-7_66b7078dc6a1b-label" aria-describedby="forminator-field-consent-7_66b7078dc6a1b__description"
data-required="false" aria-required="false"><span class="forminator-checkbox-box" aria-hidden="true"></span></label>
<div id="forminator-field-consent-7_66b7078dc6a1b__description" class="forminator-checkbox__label forminator-consent__label">
<p><span class="forminator-checkbox-label">If this apples to your iMac range between 2013 and newer, to service any hardware we are required to unglued the screen. While removing the screen, we can sometimes damage the display with a
risk of cracking it. DNA Systems will not be held responsible if any screen damage occurs. A replacement screen can be arranged at the customer's request and expense if this were to happen.</span></p>
</div>
</div>
</div>
</div>
</div>
<div class="forminator-row">
<div id="checkbox-7" class="forminator-field-checkbox forminator-col forminator-col-12 ">
<div role="group" class="forminator-field required" aria-labelledby="forminator-checkbox-group-66b7078dc6a1b-label"><span id="forminator-checkbox-group-66b7078dc6a1b-label" class="forminator-label">Abandoned Property <span
class="forminator-required">*</span></span><label id="forminator-field-checkbox-7-1-66b7078dc6a1b-label" for="forminator-field-checkbox-7-1-66b7078dc6a1b" class="forminator-checkbox"
title="Abandoned Property: if you refuse repair / agree with repair and is not picked up / paid for within (60) days it will be marked as abandoned. In the event that your product is abandoned, DNA System may dispose of your product in accordance with applicable provisions of law, and, specifically, may sell your product at a private or public sale to pay for any outstanding service performed. DNA Systems reserves its statutory and any other lawful liens for unpaid charges."><input
type="checkbox" name="checkbox-7[]" value="two" id="forminator-field-checkbox-7-1-66b7078dc6a1b" aria-labelledby="forminator-field-checkbox-7-1-66b7078dc6a1b-label" data-calculation="0" data-hidden-behavior="zero"><span
class="forminator-checkbox-box" aria-hidden="true"></span><span class="forminator-checkbox-label">Abandoned Property: if you refuse repair / agree with repair and is not picked up / paid for within (60) days it will be marked as
abandoned. In the event that your product is abandoned, DNA System may dispose of your product in accordance with applicable provisions of law, and, specifically, may sell your product at a private or public sale to pay for any
outstanding service performed. DNA Systems reserves its statutory and any other lawful liens for unpaid charges.</span></label></div>
</div>
</div>
<div class="forminator-row">
<div id="checkbox-5" class="forminator-field-checkbox forminator-col forminator-col-12 ">
<div role="group" class="forminator-field" aria-labelledby="forminator-checkbox-group-66b7078dc6a1b-label"><span id="forminator-checkbox-group-66b7078dc6a1b-label" class="forminator-label">Why we seeing your hardware today?</span><label
id="forminator-field-checkbox-5-1-66b7078dc6a1b-label" for="forminator-field-checkbox-5-1-66b7078dc6a1b" class="forminator-checkbox forminator-checkbox-inline" title="Creahing"><input type="checkbox" name="checkbox-5[]" value="one"
id="forminator-field-checkbox-5-1-66b7078dc6a1b" aria-labelledby="forminator-field-checkbox-5-1-66b7078dc6a1b-label" data-calculation="0" data-hidden-behavior="zero"
aria-describedby="forminator-field-checkbox-5-66b7078dc6a1b-description"><span class="forminator-checkbox-box" aria-hidden="true"></span><span class="forminator-checkbox-label">Creahing</span></label><label
id="forminator-field-checkbox-5-2-66b7078dc6a1b-label" for="forminator-field-checkbox-5-2-66b7078dc6a1b" class="forminator-checkbox forminator-checkbox-inline" title="System Freezes"><input type="checkbox" name="checkbox-5[]"
value="two" id="forminator-field-checkbox-5-2-66b7078dc6a1b" aria-labelledby="forminator-field-checkbox-5-2-66b7078dc6a1b-label" data-calculation="0" data-hidden-behavior="zero"
aria-describedby="forminator-field-checkbox-5-66b7078dc6a1b-description"><span class="forminator-checkbox-box" aria-hidden="true"></span><span class="forminator-checkbox-label">System Freezes</span></label><label
id="forminator-field-checkbox-5-3-66b7078dc6a1b-label" for="forminator-field-checkbox-5-3-66b7078dc6a1b" class="forminator-checkbox forminator-checkbox-inline" title="Error Messages"><input type="checkbox" name="checkbox-5[]"
value="Error-Messages" id="forminator-field-checkbox-5-3-66b7078dc6a1b" aria-labelledby="forminator-field-checkbox-5-3-66b7078dc6a1b-label" data-calculation="0" data-hidden-behavior="zero"
aria-describedby="forminator-field-checkbox-5-66b7078dc6a1b-description"><span class="forminator-checkbox-box" aria-hidden="true"></span><span class="forminator-checkbox-label">Error Messages</span></label><label
id="forminator-field-checkbox-5-4-66b7078dc6a1b-label" for="forminator-field-checkbox-5-4-66b7078dc6a1b" class="forminator-checkbox forminator-checkbox-inline" title="Beep Codes"><input type="checkbox" name="checkbox-5[]"
value="Beep-Codes" id="forminator-field-checkbox-5-4-66b7078dc6a1b" aria-labelledby="forminator-field-checkbox-5-4-66b7078dc6a1b-label" data-calculation="0" data-hidden-behavior="zero"
aria-describedby="forminator-field-checkbox-5-66b7078dc6a1b-description"><span class="forminator-checkbox-box" aria-hidden="true"></span><span class="forminator-checkbox-label">Beep Codes</span></label><label
id="forminator-field-checkbox-5-5-66b7078dc6a1b-label" for="forminator-field-checkbox-5-5-66b7078dc6a1b" class="forminator-checkbox forminator-checkbox-inline" title="Blue Screens Or Black Screen"><input type="checkbox"
name="checkbox-5[]" value="Blue-Screens-Or-Black-Screen" id="forminator-field-checkbox-5-5-66b7078dc6a1b" aria-labelledby="forminator-field-checkbox-5-5-66b7078dc6a1b-label" data-calculation="0" data-hidden-behavior="zero"
aria-describedby="forminator-field-checkbox-5-66b7078dc6a1b-description"><span class="forminator-checkbox-box" aria-hidden="true"></span><span class="forminator-checkbox-label">Blue Screens Or Black Screen</span></label><label
id="forminator-field-checkbox-5-6-66b7078dc6a1b-label" for="forminator-field-checkbox-5-6-66b7078dc6a1b" class="forminator-checkbox forminator-checkbox-inline" title="No Power"><input type="checkbox" name="checkbox-5[]" value="No-Power"
id="forminator-field-checkbox-5-6-66b7078dc6a1b" aria-labelledby="forminator-field-checkbox-5-6-66b7078dc6a1b-label" data-calculation="0" data-hidden-behavior="zero"
aria-describedby="forminator-field-checkbox-5-66b7078dc6a1b-description"><span class="forminator-checkbox-box" aria-hidden="true"></span><span class="forminator-checkbox-label">No Power</span></label><label
id="forminator-field-checkbox-5-7-66b7078dc6a1b-label" for="forminator-field-checkbox-5-7-66b7078dc6a1b" class="forminator-checkbox forminator-checkbox-inline" title="Hard Drive Making Noise"><input type="checkbox" name="checkbox-5[]"
value="Hard-Drive-Making-Noise" id="forminator-field-checkbox-5-7-66b7078dc6a1b" aria-labelledby="forminator-field-checkbox-5-7-66b7078dc6a1b-label" data-calculation="0" data-hidden-behavior="zero"
aria-describedby="forminator-field-checkbox-5-66b7078dc6a1b-description"><span class="forminator-checkbox-box" aria-hidden="true"></span><span class="forminator-checkbox-label">Hard Drive Making Noise</span></label><label
id="forminator-field-checkbox-5-8-66b7078dc6a1b-label" for="forminator-field-checkbox-5-8-66b7078dc6a1b" class="forminator-checkbox forminator-checkbox-inline" title="Other"><input type="checkbox" name="checkbox-5[]" value="Other"
id="forminator-field-checkbox-5-8-66b7078dc6a1b" aria-labelledby="forminator-field-checkbox-5-8-66b7078dc6a1b-label" data-calculation="0" data-hidden-behavior="zero"
aria-describedby="forminator-field-checkbox-5-66b7078dc6a1b-description"><span class="forminator-checkbox-box" aria-hidden="true"></span><span class="forminator-checkbox-label">Other</span></label><span
id="forminator-field-checkbox-5-66b7078dc6a1b-description" class="forminator-description">Please select potential problems you are experiencing</span></div>
</div>
</div>
<div class="forminator-row">
<div id="upload-1" class="forminator-field-upload forminator-col forminator-col-12 ">
<div class="forminator-field"><label for="forminator-field-upload-1_66b7078dc6a1b" id="forminator-field-upload-1_66b7078dc6a1b-label" class="forminator-label">Upload Images</label>
<div class="forminator-multi-upload " data-element="upload-1_66b7078dc6a1b" aria-describedby="forminator-field-upload-1_66b7078dc6a1b-description"><input type="file" name="upload-1[]" id="forminator-field-upload-1_66b7078dc6a1b"
class="forminator-input-file forminator-field-upload-1_66b7078dc6a1b-179" multiple="multiple" data-method="ajax" data-size="8000000" data-size-message="Maximum file size allowed is 8 MB. ">
<div class="forminator-multi-upload-message" aria-hidden="true"><span class="forminator-icon-upload" aria-hidden="true"></span>
<p>Drag and Drop (or) <a class="forminator-upload-file--forminator-field-upload-1_66b7078dc6a1b" href="javascript:void(0)">Choose Files</a></p>
</div>
</div><span id="forminator-field-upload-1_66b7078dc6a1b-description" class="forminator-description">Please upload S/N & Pictures of Any Damage.</span>
<ul class="forminator-uploaded-files upload-container-upload-1_66b7078dc6a1b"></ul>
</div>
</div>
</div>
<div class="forminator-row">
<div id="signature-1" class="forminator-field-signature forminator-col forminator-col-12 ">
<div class="forminator-field forminator-field-signature"><label for="forminator-field-ctlSignature66b7078dcff2c" id="forminator-field-ctlSignature66b7078dcff2c-label" class="forminator-label">Signature <span
class="forminator-required">*</span></label>
<div class="forminator-signature" data-elementheight="180">
<div class="init-wall" style="position:absolute; width:100%; height:100%; top:0;left:0;right:0;bottom:0;"></div><span id="ctlSignature66b7078dcff2c_placeholder" class="forminator-signature--placeholder" aria-hidden="true">Start signing
your signature here</span>
<div id="ctlSignature66b7078dcff2c_Container" class="forminator-signature--container"><canvas id="ctlSignature66b7078dcff2c" class="forminator-signature-canvas" height="180" tabindex="-1">
<p>Your browser does not support e-Signature field.</p>
</canvas></div>
</div><input type="hidden" name="field-signature-1" value="66b7078dcff2c" class="signature-prefix">
</div>
</div>
</div>
<div class="forminator-row">
<div id="captcha-1" class="forminator-field-captcha forminator-col forminator-col-12 ">
<div class="forminator-captcha-left forminator-g-recaptcha recaptcha-invisible" data-theme="light" data-badge="bottomright" data-sitekey="6Lf3yHYpAAAAAO1Z6as7Q3r7j_YZmwBsFgk95n3U" data-size="invisible">
<div class="grecaptcha-badge" data-style="bottomright"
style="width: 256px; height: 60px; display: block; transition: right 0.3s; position: fixed; bottom: 14px; right: -186px; box-shadow: gray 0px 0px 5px; border-radius: 2px; overflow: hidden; z-index: 99;">
<div class="grecaptcha-logo"><iframe title="reCAPTCHA" width="256" height="60" role="presentation" name="a-cayy39exn9gh" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Lf3yHYpAAAAAO1Z6as7Q3r7j_YZmwBsFgk95n3U&co=aHR0cHM6Ly93d3cuZG5hc3lzdGVtcy5jYTo0NDM.&hl=en&v=_ZpyzC9NQw3gYt1GHTrnprhx&theme=light&size=invisible&badge=bottomright&cb=fha1t1sei8xj"></iframe>
</div>
<div class="grecaptcha-error"></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response" aria-hidden="true" aria-label="do not use" aria-readonly="true"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div>
</div>
</div>
</div>
</div><button class="forminator-button forminator-pagination-submit" style="display: none;" disabled="">Send Message</button>
</div><input type="hidden" name="referer_url" value=""><input type="hidden" id="forminator_nonce" name="forminator_nonce" value="e4ea475f92"><input type="hidden" name="_wp_http_referer" value="/"><input type="hidden" name="form_id"
value="179"><input type="hidden" name="page_id" value="6"><input type="hidden" name="form_type" value="default"><input type="hidden" name="current_url" value="https://www.dnasystems.ca/"><input type="hidden" name="render_id" value="0"><input
type="hidden" name="forminator-multifile-hidden" class="forminator-multifile-hidden"><input type="hidden" name="action" value="forminator_submit_form_custom-forms">
<div class="forminator-pagination-footer" style="justify-content: flex-end;"><button class="forminator-button forminator-button-back forminator-hidden">Previous</button><button class="forminator-button forminator-button-next">Next</button></div>
</form>
POST
<form id="forminator-module-179" class="forminator-ui forminator-custom-form forminator-custom-form-179 forminator-design--bold forminator_ajax" method="post" data-forminator-render="1" data-form-id="179" data-design="bold" data-grid="open"
enctype="multipart/form-data" style="" data-uid="66b7078de1b39" novalidate="novalidate">
<div role="alert" aria-live="polite" class="forminator-response-message forminator-error" aria-hidden="true"></div>
<div class="forminator-pagination-progress" aria-hidden="true">
<div class="forminator-progress-label">50%</div>
<div class="forminator-progress-bar"><span style="width: 50%;"></span></div>
</div>
<div tabindex="0" role="tabpanel" id="forminator-custom-form-179--page-0" class="forminator-pagination forminator-pagination-start" aria-labelledby="forminator-custom-form-179--page-0-label" data-step="0" data-label="Finish"
data-name="page-break-1" style="height: auto; opacity: 1; visibility: visible;">
<div class="forminator-pagination--content" style="">
<div class="forminator-row">
<div id="html-1" class="forminator-field-html forminator-col forminator-col-12 ">
<div class="forminator-field forminator-merge-tags" data-field="html-1">
<h1 style="font-size: 40;color: #008bff">Repair Form</h1>
</div>
</div>
</div>
<div class="forminator-row">
<div id="name-1" class="forminator-field-name forminator-col forminator-col-12 ">
<div class="forminator-row forminator-no-margin" data-multiple="true">
<div class="forminator-col forminator-col-md-6">
<div class="forminator-field"><label for="forminator-field-first-name-1_66b7078de1b39" id="forminator-field-first-name-1_66b7078de1b39-label" class="forminator-label">First Name <span class="forminator-required">*</span></label><input
type="text" name="name-1-first-name" placeholder="First Name" id="forminator-field-first-name-1_66b7078de1b39" class="forminator-input" aria-required="true" data-multi="1" value=""></div>
</div>
<div class="forminator-col forminator-col-md-6">
<div class="forminator-field"><label for="forminator-field-last-name-1_66b7078de1b39" id="forminator-field-last-name-1_66b7078de1b39-label" class="forminator-label">Last Name <span class="forminator-required">*</span></label><input
type="text" name="name-1-last-name" placeholder="Last Name" id="forminator-field-last-name-1_66b7078de1b39" class="forminator-input" aria-required="true" data-multi="1" value=""></div>
</div>
</div>
</div>
</div>
<div class="forminator-row">
<div id="email-1" class="forminator-field-email forminator-col forminator-col-12 ">
<div class="forminator-field"><label for="forminator-field-email-1_66b7078de1b39" id="forminator-field-email-1_66b7078de1b39-label" class="forminator-label">Email Address <span class="forminator-required">*</span></label><input type="email"
name="email-1" value="" placeholder="Your Preferred Email Address" id="forminator-field-email-1_66b7078de1b39" class="forminator-input forminator-email--field" data-required="1" aria-required="true"></div>
</div>
</div>
<div class="forminator-row">
<div id="phone-1" class="forminator-field-phone forminator-col forminator-col-12 ">
<div class="forminator-field"><label for="forminator-field-phone-1_66b7078de1b39" id="forminator-field-phone-1_66b7078de1b39-label" class="forminator-label">Phone <span class="forminator-required">*</span></label><input type="text"
name="phone-1" value="" placeholder="Contact Number #" id="forminator-field-phone-1_66b7078de1b39" class="forminator-input forminator-field--phone" data-required="1" aria-required="true" autocomplete="off"></div>
</div>
</div>
<div class="forminator-row">
<div id="address-1" class="forminator-field-address forminator-col forminator-col-12 ">
<div class="forminator-row">
<div id="address-1-street_address" class="forminator-col">
<div class="forminator-field"><label for="forminator-field-address-1-street_address_66b7078de1b39" id="forminator-field-address-1-street_address_66b7078de1b39-label" class="forminator-label">Street Address <span
class="forminator-required">*</span></label><input type="text" name="address-1-street_address" placeholder="" id="forminator-field-address-1-street_address_66b7078de1b39" class="forminator-input" data-required="1"
aria-required="true" value=""></div>
</div>
</div>
<div class="forminator-row">
<div id="address-1-address_line" class="forminator-col">
<div class="forminator-field"><label for="forminator-field-address-1-address_line_66b7078de1b39" id="forminator-field-address-1-address_line_66b7078de1b39-label" class="forminator-label">Apartment, suite, etc</label><input type="text"
name="address-1-address_line" placeholder="" id="forminator-field-address-1-address_line_66b7078de1b39" class="forminator-input" data-required="" aria-required="false" value=""></div>
</div>
</div>
<div class="forminator-row" data-multiple="false">
<div id="address-1-city" class="forminator-col forminator-col-12">
<div class="forminator-field"><label for="forminator-field-address-1-city_66b7078de1b39" id="forminator-field-address-1-city_66b7078de1b39-label" class="forminator-label">City <span class="forminator-required">*</span></label><input
type="text" name="address-1-city" placeholder="" id="forminator-field-address-1-city_66b7078de1b39" class="forminator-input" data-required="1" aria-required="true" value=""></div>
</div>
</div>
<div class="forminator-row" data-multiple="false">
<div id="address-1-zip" class="forminator-col forminator-col-12">
<div class="forminator-field"><label for="forminator-field-address-1-zip_66b7078de1b39" id="forminator-field-address-1-zip_66b7078de1b39-label" class="forminator-label">Postal Code <span
class="forminator-required">*</span></label><input type="text" name="address-1-zip" placeholder="" id="forminator-field-address-1-zip_66b7078de1b39" class="forminator-input" value=""></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div tabindex="0" role="tabpanel" id="forminator-custom-form-179--page-1" class="forminator-pagination" aria-labelledby="forminator-custom-form-179--page-1-label" aria-hidden="true" data-step="1" data-label="Page 1" data-name="" hidden="hidden"
style="height: 0px; opacity: 0; visibility: hidden;">
<div class="forminator-pagination--content" style="display: none;">
<div class="forminator-row">
<div id="select-1" class="forminator-field-select forminator-col forminator-col-12 ">
<div class="forminator-field"><label for="forminator-form-179__field--select-1_66b7078de1b39" id="forminator-form-179__field--select-1_66b7078de1b39-label" class="forminator-label">Type Of Device</label><select
id="forminator-form-179__field--select-1_66b7078de1b39" class="forminator-select--field forminator-select2 forminator-select2-multiple select2-hidden-accessible forminator-screen-reader-only" data-required="" name="select-1"
data-default-value="" data-hidden-behavior="zero" data-placeholder="Type Of Device" data-search="false" data-search-placeholder="Type Of Device" data-checkbox="false" data-allow-clear="false"
aria-labelledby="forminator-form-179__field--select-1_66b7078de1b39-label" aria-describedby="forminator-form-179__field--select-1_66b7078de1b39-description" tabindex="-1" aria-hidden="true"
data-select2-id="select2-data-forminator-form-179__field--select-1_66b7078de1b39">
<option value="" data-select2-id="select2-data-26-a8hb">Type Of Device</option>
<option value="one" data-calculation="0">Desktop - Apple</option>
<option value="two" data-calculation="0">Desktop - Microsoft</option>
<option value="Laptop---Apple" data-calculation="0">Laptop - Apple</option>
<option value="Laptop---Microsoft" data-calculation="0">Laptop - Microsoft</option>
<option value="Hard-Drive---Apple" data-calculation="0">Hard Drive - Apple</option>
<option value="Hard-Drive---Microsoft" data-calculation="0">Hard Drive - Microsoft</option>
<option value="USB-Key" data-calculation="0">USB Key</option>
<option value="SD-Card" data-calculation="0">SD Card</option>
<option value="Other" data-calculation="0">Other</option>
</select><span class="select2 select2-container forminator-select" dir="ltr" data-select2-id="select2-data-25-7uoj" style="width: 230px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-describedby="forminator-form-179__field--select-1_66b7078de1b39-description"
aria-labelledby="select2-forminator-form-179__field--select-1_66b7078de1b39-container" aria-controls="select2-forminator-form-179__field--select-1_66b7078de1b39-container"><span class="select2-selection__rendered"
id="select2-forminator-form-179__field--select-1_66b7078de1b39-container" role="textbox" aria-readonly="true" title="Type Of Device"><span class="select2-selection__placeholder">Type Of Device</span></span><span
class="select2-selection__arrow" role="presentation"><span class="forminator-icon-chevron-down" aria-hidden="true"></span></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span><span
id="forminator-form-179__field--select-1_66b7078de1b39-description" class="forminator-description">Tell Us What Your Dropping Off / We Are Picking Up</span></div>
</div>
</div>
<div class="forminator-row">
<div id="text-1" class="forminator-field-text forminator-col forminator-col-12 ">
<div class="forminator-field"><label for="forminator-field-text-1_66b7078de1b39" id="forminator-field-text-1_66b7078de1b39-label" class="forminator-label">Login Password</label><input type="text" name="text-1" value=""
placeholder="Type Here" id="forminator-field-text-1_66b7078de1b39" class="forminator-input forminator-name--field" data-required="" aria-describedby="forminator-field-text-1_66b7078de1b39-description"><span
id="forminator-field-text-1_66b7078de1b39-description" class="forminator-description">We may require the device password (We will respect your decision if you decline!)</span></div>
</div>
</div>
<div class="forminator-row">
<div id="checkbox-1" class="forminator-field-checkbox forminator-col forminator-col-12 ">
<div role="group" class="forminator-field required" aria-labelledby="forminator-checkbox-group-66b7078de1b39-label"><span id="forminator-checkbox-group-66b7078de1b39-label" class="forminator-label">Preferred Web Browser <span
class="forminator-required">*</span></span><label id="forminator-field-checkbox-1-1-66b7078de1b39-label" for="forminator-field-checkbox-1-1-66b7078de1b39"
class="forminator-checkbox forminator-has_image forminator-has_box forminator-checkbox-inline" title="Firefox"><input type="checkbox" name="checkbox-1[]" value="one" id="forminator-field-checkbox-1-1-66b7078de1b39"
aria-labelledby="forminator-field-checkbox-1-1-66b7078de1b39-label" data-calculation="0" data-hidden-behavior="zero" aria-describedby="forminator-field-checkbox-1-66b7078de1b39-description"><span class="forminator-checkbox-box"
aria-hidden="true"></span><span class="forminator-checkbox-label">Firefox</span><span class="forminator-checkbox-image" aria-hidden="true"><span
style="background-image: url(https://www.dnasystems.ca/wp-content/uploads/2024/02/firefox.png);"></span></span></label><label id="forminator-field-checkbox-1-2-66b7078de1b39-label" for="forminator-field-checkbox-1-2-66b7078de1b39"
class="forminator-checkbox forminator-has_image forminator-has_box forminator-checkbox-inline" title="Google Chrome"><input type="checkbox" name="checkbox-1[]" value="two" id="forminator-field-checkbox-1-2-66b7078de1b39"
aria-labelledby="forminator-field-checkbox-1-2-66b7078de1b39-label" data-calculation="0" data-hidden-behavior="zero" aria-describedby="forminator-field-checkbox-1-66b7078de1b39-description"><span class="forminator-checkbox-box"
aria-hidden="true"></span><span class="forminator-checkbox-label">Google Chrome</span><span class="forminator-checkbox-image" aria-hidden="true"><span
style="background-image: url(https://www.dnasystems.ca/wp-content/uploads/2024/02/chrome.png);"></span></span></label><label id="forminator-field-checkbox-1-3-66b7078de1b39-label" for="forminator-field-checkbox-1-3-66b7078de1b39"
class="forminator-checkbox forminator-has_image forminator-has_box forminator-checkbox-inline" title="Microsoft Edge"><input type="checkbox" name="checkbox-1[]" value="Microsoft-Edge" id="forminator-field-checkbox-1-3-66b7078de1b39"
aria-labelledby="forminator-field-checkbox-1-3-66b7078de1b39-label" data-calculation="0" data-hidden-behavior="zero" aria-describedby="forminator-field-checkbox-1-66b7078de1b39-description"><span class="forminator-checkbox-box"
aria-hidden="true"></span><span class="forminator-checkbox-label">Microsoft Edge</span><span class="forminator-checkbox-image" aria-hidden="true"><span
style="background-image: url(https://www.dnasystems.ca/wp-content/uploads/2024/02/microsoft.png);"></span></span></label><label id="forminator-field-checkbox-1-4-66b7078de1b39-label" for="forminator-field-checkbox-1-4-66b7078de1b39"
class="forminator-checkbox forminator-has_image forminator-has_box forminator-checkbox-inline" title="Safari"><input type="checkbox" name="checkbox-1[]" value="Safari" id="forminator-field-checkbox-1-4-66b7078de1b39"
aria-labelledby="forminator-field-checkbox-1-4-66b7078de1b39-label" data-calculation="0" data-hidden-behavior="zero" aria-describedby="forminator-field-checkbox-1-66b7078de1b39-description"><span class="forminator-checkbox-box"
aria-hidden="true"></span><span class="forminator-checkbox-label">Safari</span><span class="forminator-checkbox-image" aria-hidden="true"><span
style="background-image: url(https://www.dnasystems.ca/wp-content/uploads/2024/02/safari.png);"></span></span></label><span id="forminator-field-checkbox-1-66b7078de1b39-description" class="forminator-description">Please Select your
preferred web browser</span></div>
</div>
</div>
<div class="forminator-row">
<div id="checkbox-2" class="forminator-field-checkbox forminator-col forminator-col-6 ">
<div role="group" class="forminator-field" aria-labelledby="forminator-checkbox-group-66b7078de1b39-label"><span id="forminator-checkbox-group-66b7078de1b39-label" class="forminator-label">How did you find us?</span><label
id="forminator-field-checkbox-2-1-66b7078de1b39-label" for="forminator-field-checkbox-2-1-66b7078de1b39" class="forminator-checkbox forminator-checkbox-inline" title="Referral"><input type="checkbox" name="checkbox-2[]" value="one"
id="forminator-field-checkbox-2-1-66b7078de1b39" aria-labelledby="forminator-field-checkbox-2-1-66b7078de1b39-label" data-calculation="0" data-hidden-behavior="zero"><span class="forminator-checkbox-box"
aria-hidden="true"></span><span class="forminator-checkbox-label">Referral</span></label><label id="forminator-field-checkbox-2-2-66b7078de1b39-label" for="forminator-field-checkbox-2-2-66b7078de1b39"
class="forminator-checkbox forminator-checkbox-inline" title="Internet Search"><input type="checkbox" name="checkbox-2[]" value="two" id="forminator-field-checkbox-2-2-66b7078de1b39"
aria-labelledby="forminator-field-checkbox-2-2-66b7078de1b39-label" data-calculation="0" data-hidden-behavior="zero"><span class="forminator-checkbox-box" aria-hidden="true"></span><span class="forminator-checkbox-label">Internet
Search</span></label></div>
</div>
<div id="text-2" class="forminator-field-text forminator-col forminator-col-6 ">
<div class="forminator-field"><label for="forminator-field-text-2_66b7078de1b39" id="forminator-field-text-2_66b7078de1b39-label" class="forminator-label">Other</label><input type="text" name="text-2" value="" placeholder="Please tell us"
id="forminator-field-text-2_66b7078de1b39" class="forminator-input forminator-name--field" data-required=""></div>
</div>
</div>
<div class="forminator-row">
<div id="consent-1" class="forminator-field-consent forminator-col forminator-col-12 ">
<div class="forminator-field"><label for="forminator-field-consent-1_66b7078de1b39" id="forminator-field-consent-1_66b7078de1b39-label" class="forminator-label">Complete Diagnostic Consent <span class="forminator-required">*</span></label>
<div class="forminator-checkbox__wrapper"><label for="forminator-field-consent-1_66b7078de1b39" id="forminator-field-consent-1_66b7078de1b39__label" class="forminator-checkbox forminator-consent" style="margin: 0;"><input type="checkbox"
name="consent-1" id="forminator-field-consent-1_66b7078de1b39" value="checked" aria-labelledby="forminator-field-consent-1_66b7078de1b39-label" aria-describedby="forminator-field-consent-1_66b7078de1b39__description"
data-required="true" aria-required="true"><span class="forminator-checkbox-box" aria-hidden="true"></span></label>
<div id="forminator-field-consent-1_66b7078de1b39__description" class="forminator-checkbox__label forminator-consent__label">
<p>I authorize DNA Systems to do a full system diagnostic on my hardware with a fee of $60. If the problem is related to a hard drive, then there will be a $100 diagnostic fee!</p>
</div>
</div>
</div>
</div>
</div>
<div class="forminator-row">
<div id="html-2" class="forminator-field-html forminator-col forminator-col-12 ">
<div class="forminator-field forminator-merge-tags" data-field="html-2"><label class="forminator-label">PLEASE READ BEFORE HANDING OVER EQUIPMENT</label></div>
</div>
</div>
<div class="forminator-row">
<div id="consent-2" class="forminator-field-consent forminator-col forminator-col-12 ">
<div class="forminator-field"><label for="forminator-field-consent-2_66b7078de1b39" id="forminator-field-consent-2_66b7078de1b39-label" class="forminator-label">Licence Software <span class="forminator-required">*</span></label>
<div class="forminator-checkbox__wrapper"><label for="forminator-field-consent-2_66b7078de1b39" id="forminator-field-consent-2_66b7078de1b39__label" class="forminator-checkbox forminator-consent" style="margin: 0;"><input type="checkbox"
name="consent-2" id="forminator-field-consent-2_66b7078de1b39" value="checked" aria-labelledby="forminator-field-consent-2_66b7078de1b39-label" aria-describedby="forminator-field-consent-2_66b7078de1b39__description"
data-required="true" aria-required="true"><span class="forminator-checkbox-box" aria-hidden="true"></span></label>
<div id="forminator-field-consent-2_66b7078de1b39__description" class="forminator-checkbox__label forminator-consent__label">
<p><span class="forminator-checkbox-label">Please ensure that you have all licensing documentation available for any licensed software that is on your system. Some repairs may require us to completely erase all system data. Without
these licenses, we may not to be able to reinstall the software. Therefore we cannot guarantee software without licensing will work after repairs are completed.</span></p>
</div>
</div>
</div>
</div>
</div>
<div class="forminator-row">
<div id="consent-3" class="forminator-field-consent forminator-col forminator-col-12 ">
<div class="forminator-field"><label for="forminator-field-consent-3_66b7078de1b39" id="forminator-field-consent-3_66b7078de1b39-label" class="forminator-label">Power Adapters <span class="forminator-required">*</span></label>
<div class="forminator-checkbox__wrapper"><label for="forminator-field-consent-3_66b7078de1b39" id="forminator-field-consent-3_66b7078de1b39__label" class="forminator-checkbox forminator-consent" style="margin: 0;"><input type="checkbox"
name="consent-3" id="forminator-field-consent-3_66b7078de1b39" value="checked" aria-labelledby="forminator-field-consent-3_66b7078de1b39-label" aria-describedby="forminator-field-consent-3_66b7078de1b39__description"
data-required="true" aria-required="true"><span class="forminator-checkbox-box" aria-hidden="true"></span></label>
<div id="forminator-field-consent-3_66b7078de1b39__description" class="forminator-checkbox__label forminator-consent__label">
<p><span class="forminator-checkbox-label">Please keep possession of all power adapters, unless specially requested.</span></p>
</div>
</div>
</div>
</div>
</div>
<div class="forminator-row">
<div id="consent-4" class="forminator-field-consent forminator-col forminator-col-12 ">
<div class="forminator-field"><label for="forminator-field-consent-4_66b7078de1b39" id="forminator-field-consent-4_66b7078de1b39-label" class="forminator-label">Hard Drives <span class="forminator-required">*</span></label>
<div class="forminator-checkbox__wrapper"><label for="forminator-field-consent-4_66b7078de1b39" id="forminator-field-consent-4_66b7078de1b39__label" class="forminator-checkbox forminator-consent" style="margin: 0;"><input type="checkbox"
name="consent-4" id="forminator-field-consent-4_66b7078de1b39" value="checked" aria-labelledby="forminator-field-consent-4_66b7078de1b39-label" aria-describedby="forminator-field-consent-4_66b7078de1b39__description"
data-required="true" aria-required="true"><span class="forminator-checkbox-box" aria-hidden="true"></span></label>
<div id="forminator-field-consent-4_66b7078de1b39__description" class="forminator-checkbox__label forminator-consent__label">
<p><span class="forminator-checkbox-label">External hard drives are considered separate equipment from any system and the addition of external harddrives will require additional hardware forms</span></p>
</div>
</div>
</div>
</div>
</div>
<div class="forminator-row">
<div id="html-3" class="forminator-field-html forminator-col forminator-col-12 ">
<div class="forminator-field forminator-merge-tags" data-field="html-3"><label class="forminator-label">DISCLAIMER</label></div>
</div>
</div>
<div class="forminator-row">
<div id="consent-5" class="forminator-field-consent forminator-col forminator-col-12 ">
<div class="forminator-field"><label for="forminator-field-consent-5_66b7078de1b39" id="forminator-field-consent-5_66b7078de1b39-label" class="forminator-label">Backups <span class="forminator-required">*</span></label>
<div class="forminator-checkbox__wrapper"><label for="forminator-field-consent-5_66b7078de1b39" id="forminator-field-consent-5_66b7078de1b39__label" class="forminator-checkbox forminator-consent" style="margin: 0;"><input type="checkbox"
name="consent-5" id="forminator-field-consent-5_66b7078de1b39" value="checked" aria-labelledby="forminator-field-consent-5_66b7078de1b39-label" aria-describedby="forminator-field-consent-5_66b7078de1b39__description"
data-required="true" aria-required="true"><span class="forminator-checkbox-box" aria-hidden="true"></span></label>
<div id="forminator-field-consent-5_66b7078de1b39__description" class="forminator-checkbox__label forminator-consent__label">
<p><span class="forminator-checkbox-label">Regarding data backup, we can only backup files like pictures, documents, movies, & music. Regarding software programs, we are not able to back up programs without licenses due to
licensing agreements with software owners. We will reinstall programs if the proper licenses are provided</span></p>
</div>
</div>
</div>
</div>
</div>
<div class="forminator-row">
<div id="consent-7" class="forminator-field-consent forminator-col forminator-col-12 ">
<div class="forminator-field"><label for="forminator-field-consent-7_66b7078de1b39" id="forminator-field-consent-7_66b7078de1b39-label" class="forminator-label">iMacs</label>
<div class="forminator-checkbox__wrapper"><label for="forminator-field-consent-7_66b7078de1b39" id="forminator-field-consent-7_66b7078de1b39__label" class="forminator-checkbox forminator-consent" style="margin: 0;"><input type="checkbox"
name="consent-7" id="forminator-field-consent-7_66b7078de1b39" value="checked" aria-labelledby="forminator-field-consent-7_66b7078de1b39-label" aria-describedby="forminator-field-consent-7_66b7078de1b39__description"
data-required="false" aria-required="false"><span class="forminator-checkbox-box" aria-hidden="true"></span></label>
<div id="forminator-field-consent-7_66b7078de1b39__description" class="forminator-checkbox__label forminator-consent__label">
<p><span class="forminator-checkbox-label">If this apples to your iMac range between 2013 and newer, to service any hardware we are required to unglued the screen. While removing the screen, we can sometimes damage the display with a
risk of cracking it. DNA Systems will not be held responsible if any screen damage occurs. A replacement screen can be arranged at the customer's request and expense if this were to happen.</span></p>
</div>
</div>
</div>
</div>
</div>
<div class="forminator-row">
<div id="checkbox-7" class="forminator-field-checkbox forminator-col forminator-col-12 ">
<div role="group" class="forminator-field required" aria-labelledby="forminator-checkbox-group-66b7078de1b39-label"><span id="forminator-checkbox-group-66b7078de1b39-label" class="forminator-label">Abandoned Property <span
class="forminator-required">*</span></span><label id="forminator-field-checkbox-7-1-66b7078de1b39-label" for="forminator-field-checkbox-7-1-66b7078de1b39" class="forminator-checkbox"
title="Abandoned Property: if you refuse repair / agree with repair and is not picked up / paid for within (60) days it will be marked as abandoned. In the event that your product is abandoned, DNA System may dispose of your product in accordance with applicable provisions of law, and, specifically, may sell your product at a private or public sale to pay for any outstanding service performed. DNA Systems reserves its statutory and any other lawful liens for unpaid charges."><input
type="checkbox" name="checkbox-7[]" value="two" id="forminator-field-checkbox-7-1-66b7078de1b39" aria-labelledby="forminator-field-checkbox-7-1-66b7078de1b39-label" data-calculation="0" data-hidden-behavior="zero"><span
class="forminator-checkbox-box" aria-hidden="true"></span><span class="forminator-checkbox-label">Abandoned Property: if you refuse repair / agree with repair and is not picked up / paid for within (60) days it will be marked as
abandoned. In the event that your product is abandoned, DNA System may dispose of your product in accordance with applicable provisions of law, and, specifically, may sell your product at a private or public sale to pay for any
outstanding service performed. DNA Systems reserves its statutory and any other lawful liens for unpaid charges.</span></label></div>
</div>
</div>
<div class="forminator-row">
<div id="checkbox-5" class="forminator-field-checkbox forminator-col forminator-col-12 ">
<div role="group" class="forminator-field" aria-labelledby="forminator-checkbox-group-66b7078de1b39-label"><span id="forminator-checkbox-group-66b7078de1b39-label" class="forminator-label">Why we seeing your hardware today?</span><label
id="forminator-field-checkbox-5-1-66b7078de1b39-label" for="forminator-field-checkbox-5-1-66b7078de1b39" class="forminator-checkbox forminator-checkbox-inline" title="Creahing"><input type="checkbox" name="checkbox-5[]" value="one"
id="forminator-field-checkbox-5-1-66b7078de1b39" aria-labelledby="forminator-field-checkbox-5-1-66b7078de1b39-label" data-calculation="0" data-hidden-behavior="zero"
aria-describedby="forminator-field-checkbox-5-66b7078de1b39-description"><span class="forminator-checkbox-box" aria-hidden="true"></span><span class="forminator-checkbox-label">Creahing</span></label><label
id="forminator-field-checkbox-5-2-66b7078de1b39-label" for="forminator-field-checkbox-5-2-66b7078de1b39" class="forminator-checkbox forminator-checkbox-inline" title="System Freezes"><input type="checkbox" name="checkbox-5[]"
value="two" id="forminator-field-checkbox-5-2-66b7078de1b39" aria-labelledby="forminator-field-checkbox-5-2-66b7078de1b39-label" data-calculation="0" data-hidden-behavior="zero"
aria-describedby="forminator-field-checkbox-5-66b7078de1b39-description"><span class="forminator-checkbox-box" aria-hidden="true"></span><span class="forminator-checkbox-label">System Freezes</span></label><label
id="forminator-field-checkbox-5-3-66b7078de1b39-label" for="forminator-field-checkbox-5-3-66b7078de1b39" class="forminator-checkbox forminator-checkbox-inline" title="Error Messages"><input type="checkbox" name="checkbox-5[]"
value="Error-Messages" id="forminator-field-checkbox-5-3-66b7078de1b39" aria-labelledby="forminator-field-checkbox-5-3-66b7078de1b39-label" data-calculation="0" data-hidden-behavior="zero"
aria-describedby="forminator-field-checkbox-5-66b7078de1b39-description"><span class="forminator-checkbox-box" aria-hidden="true"></span><span class="forminator-checkbox-label">Error Messages</span></label><label
id="forminator-field-checkbox-5-4-66b7078de1b39-label" for="forminator-field-checkbox-5-4-66b7078de1b39" class="forminator-checkbox forminator-checkbox-inline" title="Beep Codes"><input type="checkbox" name="checkbox-5[]"
value="Beep-Codes" id="forminator-field-checkbox-5-4-66b7078de1b39" aria-labelledby="forminator-field-checkbox-5-4-66b7078de1b39-label" data-calculation="0" data-hidden-behavior="zero"
aria-describedby="forminator-field-checkbox-5-66b7078de1b39-description"><span class="forminator-checkbox-box" aria-hidden="true"></span><span class="forminator-checkbox-label">Beep Codes</span></label><label
id="forminator-field-checkbox-5-5-66b7078de1b39-label" for="forminator-field-checkbox-5-5-66b7078de1b39" class="forminator-checkbox forminator-checkbox-inline" title="Blue Screens Or Black Screen"><input type="checkbox"
name="checkbox-5[]" value="Blue-Screens-Or-Black-Screen" id="forminator-field-checkbox-5-5-66b7078de1b39" aria-labelledby="forminator-field-checkbox-5-5-66b7078de1b39-label" data-calculation="0" data-hidden-behavior="zero"
aria-describedby="forminator-field-checkbox-5-66b7078de1b39-description"><span class="forminator-checkbox-box" aria-hidden="true"></span><span class="forminator-checkbox-label">Blue Screens Or Black Screen</span></label><label
id="forminator-field-checkbox-5-6-66b7078de1b39-label" for="forminator-field-checkbox-5-6-66b7078de1b39" class="forminator-checkbox forminator-checkbox-inline" title="No Power"><input type="checkbox" name="checkbox-5[]" value="No-Power"
id="forminator-field-checkbox-5-6-66b7078de1b39" aria-labelledby="forminator-field-checkbox-5-6-66b7078de1b39-label" data-calculation="0" data-hidden-behavior="zero"
aria-describedby="forminator-field-checkbox-5-66b7078de1b39-description"><span class="forminator-checkbox-box" aria-hidden="true"></span><span class="forminator-checkbox-label">No Power</span></label><label
id="forminator-field-checkbox-5-7-66b7078de1b39-label" for="forminator-field-checkbox-5-7-66b7078de1b39" class="forminator-checkbox forminator-checkbox-inline" title="Hard Drive Making Noise"><input type="checkbox" name="checkbox-5[]"
value="Hard-Drive-Making-Noise" id="forminator-field-checkbox-5-7-66b7078de1b39" aria-labelledby="forminator-field-checkbox-5-7-66b7078de1b39-label" data-calculation="0" data-hidden-behavior="zero"
aria-describedby="forminator-field-checkbox-5-66b7078de1b39-description"><span class="forminator-checkbox-box" aria-hidden="true"></span><span class="forminator-checkbox-label">Hard Drive Making Noise</span></label><label
id="forminator-field-checkbox-5-8-66b7078de1b39-label" for="forminator-field-checkbox-5-8-66b7078de1b39" class="forminator-checkbox forminator-checkbox-inline" title="Other"><input type="checkbox" name="checkbox-5[]" value="Other"
id="forminator-field-checkbox-5-8-66b7078de1b39" aria-labelledby="forminator-field-checkbox-5-8-66b7078de1b39-label" data-calculation="0" data-hidden-behavior="zero"
aria-describedby="forminator-field-checkbox-5-66b7078de1b39-description"><span class="forminator-checkbox-box" aria-hidden="true"></span><span class="forminator-checkbox-label">Other</span></label><span
id="forminator-field-checkbox-5-66b7078de1b39-description" class="forminator-description">Please select potential problems you are experiencing</span></div>
</div>
</div>
<div class="forminator-row">
<div id="upload-1" class="forminator-field-upload forminator-col forminator-col-12 ">
<div class="forminator-field"><label for="forminator-field-upload-1_66b7078de1b39" id="forminator-field-upload-1_66b7078de1b39-label" class="forminator-label">Upload Images</label>
<div class="forminator-multi-upload " data-element="upload-1_66b7078de1b39" aria-describedby="forminator-field-upload-1_66b7078de1b39-description"><input type="file" name="upload-1[]" id="forminator-field-upload-1_66b7078de1b39"
class="forminator-input-file forminator-field-upload-1_66b7078de1b39-179" multiple="multiple" data-method="ajax" data-size="8000000" data-size-message="Maximum file size allowed is 8 MB. ">
<div class="forminator-multi-upload-message" aria-hidden="true"><span class="forminator-icon-upload" aria-hidden="true"></span>
<p>Drag and Drop (or) <a class="forminator-upload-file--forminator-field-upload-1_66b7078de1b39" href="javascript:void(0)">Choose Files</a></p>
</div>
</div><span id="forminator-field-upload-1_66b7078de1b39-description" class="forminator-description">Please upload S/N & Pictures of Any Damage.</span>
<ul class="forminator-uploaded-files upload-container-upload-1_66b7078de1b39"></ul>
</div>
</div>
</div>
<div class="forminator-row">
<div id="signature-1" class="forminator-field-signature forminator-col forminator-col-12 ">
<div class="forminator-field forminator-field-signature"><label for="forminator-field-ctlSignature66b7078de99a8" id="forminator-field-ctlSignature66b7078de99a8-label" class="forminator-label">Signature <span
class="forminator-required">*</span></label>
<div class="forminator-signature" data-elementheight="180">
<div class="init-wall" style="position:absolute; width:100%; height:100%; top:0;left:0;right:0;bottom:0;"></div><span id="ctlSignature66b7078de99a8_placeholder" class="forminator-signature--placeholder" aria-hidden="true">Start signing
your signature here</span>
<div id="ctlSignature66b7078de99a8_Container" class="forminator-signature--container"><canvas id="ctlSignature66b7078de99a8" class="forminator-signature-canvas" height="180" tabindex="-1">
<p>Your browser does not support e-Signature field.</p>
</canvas></div>
</div><input type="hidden" name="field-signature-1" value="66b7078de99a8" class="signature-prefix">
</div>
</div>
</div>
<div class="forminator-row">
<div id="captcha-1" class="forminator-field-captcha forminator-col forminator-col-12 ">
<div class="forminator-captcha-left forminator-g-recaptcha recaptcha-invisible" data-theme="light" data-badge="bottomright" data-sitekey="6Lf3yHYpAAAAAO1Z6as7Q3r7j_YZmwBsFgk95n3U" data-size="invisible">
<div class="grecaptcha-badge" data-style="none" style="width: 256px; height: 60px; position: fixed; visibility: hidden; z-index: 99;">
<div class="grecaptcha-logo"><iframe title="reCAPTCHA" width="256" height="60" role="presentation" name="a-vokdl9qsrfyh" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Lf3yHYpAAAAAO1Z6as7Q3r7j_YZmwBsFgk95n3U&co=aHR0cHM6Ly93d3cuZG5hc3lzdGVtcy5jYTo0NDM.&hl=en&v=_ZpyzC9NQw3gYt1GHTrnprhx&theme=light&size=invisible&badge=bottomright&cb=spt38ep0gjea"></iframe>
</div>
<div class="grecaptcha-error"></div><textarea id="g-recaptcha-response-1" name="g-recaptcha-response" class="g-recaptcha-response" aria-hidden="true" aria-label="do not use" aria-readonly="true"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div>
</div>
</div>
</div>
</div><button class="forminator-button forminator-pagination-submit" style="display: none;" disabled="">Send Message</button>
</div><input type="hidden" name="referer_url" value=""><input type="hidden" id="forminator_nonce" name="forminator_nonce" value="e4ea475f92"><input type="hidden" name="_wp_http_referer" value="/"><input type="hidden" name="form_id"
value="179"><input type="hidden" name="page_id" value="6"><input type="hidden" name="form_type" value="default"><input type="hidden" name="current_url" value="https://www.dnasystems.ca/"><input type="hidden" name="render_id" value="1"><input
type="hidden" name="forminator-multifile-hidden" class="forminator-multifile-hidden"><input type="hidden" name="action" value="forminator_submit_form_custom-forms">
<div class="forminator-pagination-footer" style="justify-content: flex-end;"><button class="forminator-button forminator-button-back forminator-hidden">Previous</button><button class="forminator-button forminator-button-next">Next</button></div>
</form>
Text Content
* Home * About us * Services * Contact ✕ We manage your IT infrastructure for commercial and residential needs and provide web design and marketing solutions for business owners. PERSONAL & BUSINESS IT Managed Services & Repairs + Web Design & Marketing Solutions View Services We repair Windows computers We repair Apple computers Pick up and drop off service* We Service Toronto & Thunder Bay WITH OVER 20 YEARS OF EXPERIENCE, DNA SYSTEMS IS THE NUMBER ONE CHOICE FOR YOUR PERSONAL AND BUSINESS L IT SUPPORT & WEB DESIGN. Alan Regnier is the Founder of DNA Systems, an established IT company that services the Toronto and GTA area as well as Thunder Bay. DNA Systems specializes in IT Management Services, Maintenance, Graphic and Web Design, Social Media Management and a range of other business solutions that we invite you to explore. Over the decade, Alan has channeled vast IT experience into creating DNA Systems and our company stands ready to support your IT needs. With our headquarters based in Toronto, our competitive pricing aligns with regional industry standards. At DNA Systems, we excel in providing both on-site and remote assistance for homes and businesses within a schedule that works for you. We invite you to browse through our selection of residential and commercial services and learn more about how we can assist you with your business and home solutions. ALAN REGNIER, FOUNDER & CEO Learn more about our team Annalu Cabral 2024-02-15 My husband used Alan’s services a while ago and he was very satisfied with it. Fast forward a couple of months later, my computer needed some maintenance and without thinking twice, we took it to Alan. And once more, we are very satisfied with his services! Fair price, full details on what’s wrong, fast and reliable service. If you are looking for someone to take good care of your computer, look no further! Thanks, Alan! Xavier Mathieu 2024-02-09 Alan was very professional and knowledgeable for any questions I had for my Mac. I highly recommend his service if you are looking to repair your computer and bring it back as new. Kimberly de Witte 2024-01-30 We have used Alan for the last few years and he always provides the best service. He is quick to diagnose, provides fair estimates and full explanations. Our computers are forever grateful for his care! Alex Uans 2023-12-09 Alan’s a cool guy. Gave me some really fair rates, explained the problem with my laptop and the service was fast. I’ll definitely be back if I need any PC help in the future. Michael Kulchycki 2023-12-07 Received this referral from the local social media group, from start to finish Alan has been top notch in terms of service. He diagnosed the issue, offered to pick up the device, gave me an update during the repair and even dropped off the device upon completion. It was efficient and will be visiting him again for all of our family device needs. Lauri S 2023-12-01 I was referred to Alan at DNA Systems because my computer was running very slowly. He came to pick up my computer on Tuesday morning, and brought it back to me on Tuesday evening, just after 6pm. My computer has never worked so well, and I am very thankful for his honest, quick and very professional repair of my computer. I would highly recommend his services. Chantal Morel 2023-11-23 Alan is very knowledgeable, keen to educate and honest. Thank you so much for the home visit to help me install SSD in my PS5! We will be connecting with you for all our IT needs moving forward. Caitlin Bruce 2023-11-11 Unfortunately Alan was unable to assist me with finding some photos (that I still don't know what happened to, to this date!). But I am super grateful for his help and for checking my hard drive for them. Plus he hooked me up with an external DVD player! Definitely reach out if you need anything computer related. stefanie pavlisa 2023-10-18 Very helpful and reasonable priced, would definitely recommend Marleina Hershberg 2023-10-08 I STRONGLY recommend you use this service, as you will be treated with the utmost respect, and Alan really cares! After my teen was ripped off by another company, and I had posted to warn others about that company, Alan replied to that post to contact him, and he told me that he would totally hook my teen up. And he has done so! THANK YOU, ALAN!!! DNA Systems Toronto, ON Thunder Bay, ON * Instagram * TikTok * Facebook * Mail * Home * About us * Services * Contact Repair Form Quick Support CONTACT US Toronto: 1 (647) 865-1798 Thunder Bay: 1 (807) 707-8787 E-mail info@dnasystems.ca Providing residential and commercial IT Managed Services & Repairs plus Web Design & Marketing Solutions. © 2024 DNA Systems. All Rights Reserved | Web Hosting Provided by DNA Systems Close this module Customer Device Form 50% REPAIR FORM First Name * Last Name * Email Address * Phone * Street Address * Apartment, suite, etc City * Postal Code * Type Of DeviceType Of DeviceDesktop - AppleDesktop - MicrosoftLaptop - AppleLaptop - MicrosoftHard Drive - AppleHard Drive - MicrosoftUSB KeySD CardOtherType Of DeviceTell Us What Your Dropping Off / We Are Picking Up Login PasswordWe may require the device password (We will respect your decision if you decline!) Preferred Web Browser *FirefoxGoogle ChromeMicrosoft EdgeSafariPlease Select your preferred web browser How did you find us?ReferralInternet Search Other Complete Diagnostic Consent * I authorize DNA Systems to do a full system diagnostic on my hardware with a fee of $60. If the problem is related to a hard drive, then there will be a $100 diagnostic fee! PLEASE READ BEFORE HANDING OVER EQUIPMENT Licence Software * Please ensure that you have all licensing documentation available for any licensed software that is on your system. Some repairs may require us to completely erase all system data. Without these licenses, we may not to be able to reinstall the software. Therefore we cannot guarantee software without licensing will work after repairs are completed. Power Adapters * Please keep possession of all power adapters, unless specially requested. Hard Drives * External hard drives are considered separate equipment from any system and the addition of external harddrives will require additional hardware forms DISCLAIMER Backups * Regarding data backup, we can only backup files like pictures, documents, movies, & music. Regarding software programs, we are not able to back up programs without licenses due to licensing agreements with software owners. We will reinstall programs if the proper licenses are provided iMacs If this apples to your iMac range between 2013 and newer, to service any hardware we are required to unglued the screen. While removing the screen, we can sometimes damage the display with a risk of cracking it. DNA Systems will not be held responsible if any screen damage occurs. A replacement screen can be arranged at the customer's request and expense if this were to happen. Abandoned Property *Abandoned Property: if you refuse repair / agree with repair and is not picked up / paid for within (60) days it will be marked as abandoned. In the event that your product is abandoned, DNA System may dispose of your product in accordance with applicable provisions of law, and, specifically, may sell your product at a private or public sale to pay for any outstanding service performed. DNA Systems reserves its statutory and any other lawful liens for unpaid charges. Why we seeing your hardware today?CreahingSystem FreezesError MessagesBeep CodesBlue Screens Or Black ScreenNo PowerHard Drive Making NoiseOtherPlease select potential problems you are experiencing Upload Images Drag and Drop (or) Choose Files Please upload S/N & Pictures of Any Damage. Signature * Start signing your signature here Your browser does not support e-Signature field. Send Message PreviousNext Close this module 50% REPAIR FORM First Name * Last Name * Email Address * Phone * Street Address * Apartment, suite, etc City * Postal Code * Type Of DeviceType Of DeviceDesktop - AppleDesktop - MicrosoftLaptop - AppleLaptop - MicrosoftHard Drive - AppleHard Drive - MicrosoftUSB KeySD CardOtherType Of DeviceTell Us What Your Dropping Off / We Are Picking Up Login PasswordWe may require the device password (We will respect your decision if you decline!) Preferred Web Browser *FirefoxGoogle ChromeMicrosoft EdgeSafariPlease Select your preferred web browser How did you find us?ReferralInternet Search Other Complete Diagnostic Consent * I authorize DNA Systems to do a full system diagnostic on my hardware with a fee of $60. If the problem is related to a hard drive, then there will be a $100 diagnostic fee! PLEASE READ BEFORE HANDING OVER EQUIPMENT Licence Software * Please ensure that you have all licensing documentation available for any licensed software that is on your system. Some repairs may require us to completely erase all system data. Without these licenses, we may not to be able to reinstall the software. Therefore we cannot guarantee software without licensing will work after repairs are completed. Power Adapters * Please keep possession of all power adapters, unless specially requested. Hard Drives * External hard drives are considered separate equipment from any system and the addition of external harddrives will require additional hardware forms DISCLAIMER Backups * Regarding data backup, we can only backup files like pictures, documents, movies, & music. Regarding software programs, we are not able to back up programs without licenses due to licensing agreements with software owners. We will reinstall programs if the proper licenses are provided iMacs If this apples to your iMac range between 2013 and newer, to service any hardware we are required to unglued the screen. While removing the screen, we can sometimes damage the display with a risk of cracking it. DNA Systems will not be held responsible if any screen damage occurs. A replacement screen can be arranged at the customer's request and expense if this were to happen. Abandoned Property *Abandoned Property: if you refuse repair / agree with repair and is not picked up / paid for within (60) days it will be marked as abandoned. In the event that your product is abandoned, DNA System may dispose of your product in accordance with applicable provisions of law, and, specifically, may sell your product at a private or public sale to pay for any outstanding service performed. DNA Systems reserves its statutory and any other lawful liens for unpaid charges. Why we seeing your hardware today?CreahingSystem FreezesError MessagesBeep CodesBlue Screens Or Black ScreenNo PowerHard Drive Making NoiseOtherPlease select potential problems you are experiencing Upload Images Drag and Drop (or) Choose Files Please upload S/N & Pictures of Any Damage. Signature * Start signing your signature here Your browser does not support e-Signature field. Send Message PreviousNext