Computer Service Request

Your name *

Phone *

Your E-mail

Corporation / Organization Name

Preferred method of contact *

Call

Text

Email

Issue / Update

Password if any

Does the device power on? *

Yes

No

If we need to schedule a visit, when would be a good time?

Are they pictures, documents, etc backed up on an external hard drive? *

Yes

No

By typing your FULL NAME below, you are aware that CUSTOMERS ARE RESPONSIBLE FOR REINSTALLING PRINTERS, CAMERAS, IPODS, etc *

Verification Code *

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