First Name
Last Name
Email Address
Motorola Tab Model ---Motorola Droid XYBoardb 10.1Motorola Droid XYBoard 8.2Motorola XoomMotorola Xoom 2Other (insert to Notes)
Device repair type ---Diagnostic ServiceGlass & LCD ReplacementGlass ReplacementLCD ReplacementBattery ReplacementCharge Port RepairFront Camera RepairHeadphone Jack RepairBack Glass ReplacementRear Camera RepairLoudspeaker RepairEar Speaker Repair
Notes
