Fill and Sign the Liability Computer Form

Liability Waiver and Agreement for Computer Repair Services THIS IS A RELEASE OF LEGAL RIGHTS. READ. BE CERTAIN YOU UNDERSTAND IT BEFORE SIGNING. Agreement made on the ________________ (date) , between _____________________ (Name of Customer) of ________________________________________________________ _________________________ (street address, city, state, zip code) , referred to herein as Customer , and ______________________ (Name of Computer Servicer) , of _____________ ______________________________________________________________ (street address, city, state, zip code) , referred to herein as Servicer . Whereas, ____________________ (name of customer) owns a computer (the Computer ) and would like to contract with Servicer to perform certain repairs, servicing, and/or maintenance; and Whereas, Servicer is willing to attempt to make such repairs, servicing, and/or maintenance on said Computer provided this liability waiver is signed by Customer; Now, therefore, for and in consideration of the mutual covenants contained in this agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows: 1. Customer acknowledges that the services, repairs and/or maintenance provided by Servicer may result in malfunction of certain programs or functions of the Computer and acknowledges that this result may occur through no fault of the Servicer, and understanding the risk of accepting the services of Servicer. Customer assumes all responsibility and risk for any damage to the Computer that may result from such services, repairs, and/or maintenance. Furthermore, Customer covenants not to sue Servicer or any of Servicer’s employees and agrees in advance to release, waive, and forever discharge Servicer or any of Servicer’s employees against any and all liability for any harm, injury, damage, claims, demands, actions, causes of action, costs, and expenses of any nature that may result from service, maintenance and/or repair services Customer accepts from Servicer. 2. In signing this Release, Customer acknowledges and represents that he has been fully informed of the content of the foregoing waiver of liability agreement by reading it before he signed it, and he understands that he is signing this document as his own free act and deed. 3. No oral representations, statements, or inducements, apart from the foregoing written statements, have been made to customer. Customer further states that he is at least eighteen (18) years of age and fully competent to sign this Agreement. 4. Mandatory Arbitration: Any dispute under this Agreement shall be required to be resolved by binding arbitration of the parties hereto. If the parties cannot agree on an arbitrator, each party shall select one arbitrator and both arbitrators shall then select a third. The third arbitrator so selected shall arbitrate said dispute. The arbitration shall be governed by the rules of the American Arbitration Association then in force and effect. 5. In this Agreement, any reference to a party includes that party's heirs, executors, administrators, successors and assigns, singular includes plural and masculine includes feminine. Witness my signature this ______ day of _______________, 20____. _________________________________ (Printed Name of Customer) __________________________________ (Signature of Customer) ___________________________ Witness