Form Customer Information FormPlease enable JavaScript in your browser to complete this form.Name *FirstLastPhone Number *EmailProblem *Select OneBatteryBack GlassCameraScreenSpeakerOtherMake *Select OneAppleSamsungLgOtherModel *Select Oneiphone 6iphone 7iphone 8/SE 2020iphone 8 Plusiphone Xiphone XRiphone XSiphone XS Maxiphone 11iphone 11 Proiphone 11 Pro Maxiphone 12iphone 12 Proiphone 12 Pro MaxIpadMacbookOtherModel *Select OneGalaxy s7Galaxy s8Galaxy s8 PlusGalaxy s9Galaxy s9 PlusGalaxy S10eGalaxy S10Galaxy S10 PlusGalaxy S20Galaxy S21Note 8Note 9Note 10Note 10 PlusOtherModel *Select OneStylo 6G8 ThinQV60 ThinQV50 ThinQK31OtherNoteSubmit