Technical Support
You can only select one service type per submission, but feel free to make multiple submissions.
Name
*
First Name
Last Name
Email
*
example@example.com
Todays Date
*
-
Month
-
Day
Year
Date
Select a support option. (You can only select one service type per submission, but feel free to make multiple submissions.)
*
Phone Support (For experienced Techs/previously addressed issues at your facility.)
Virtual Meeting/Support (Design stages or new equipment/procedure implementations)
In-person visit (Operation or onsite trouble-shooting/training.)
Installation (Upgrades, maintenance, warranty work)
Phone Support
Best for experienced Techs/previously addressed issues at your facility.
Who is the contact person for the call?
First Name
Last Name
Contact person's phone number
-
Area Code
Phone Number
Virtual Meeting/Support
Best for design stages, new equipment/procedure implementations.
Participants
Number of people on call.
Length of meeting
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
What online platform do you use?
Microsoft Teams
Skype
WebEx
Zoom
Name
First Name
Last Name
Email
example@example.com (A link will be sent to this email for you session)
In Person Visit
During the COVID-19 pandemic emergency the health of myself and others is paramount. I follow the guidance from health authorities, including the standards listed below and any updated recommendations to ensure the health safety of all. •Strict cleaning policies pertaining to the handling and use of equipment •Social Distancing, (6' minimum)• Adhere to in person maximum at gatherings•Face masks are required during in person visits.
Onsite Contact
First Name
Last Name
Onsite Contact Phone Number
-
Area Code
Phone Number
Onsite Contact Email
example@example.com
Company/Facility Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Installation
During the COVID-19 pandemic emergency the health of myself and others is paramount. I follow the guidance from health authorities, including the standards listed below and any updated recommendations to ensure the health safety of all. •Strict cleaning policies pertaining to the handling and use of equipment •Social Distancing, (6' minimum)• Adhere to in person maximum at gatherings•Face masks are required during in person visits.
Contact
First Name
Last Name
Contact's Phone #
-
Area Code
Phone Number
Contact's Email
example@example.com
Installation Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is being installed?
Installation Notes
Identify Challenges
In the following section outline the items that you would like addressed during your support session/visit.
Specify Your Challenges
Live Audio
Audio for Video
AV IT control
Streaming
Live Audio
Provide a brief description of the problem.
Audio for Video
Provide a brief description of the problem.
AV ITControl
Provide a brief description of the problem.
Streaming
Provide a brief description of the problem.
Other
Provide a brief description of the problem.
Service Rates. Check and enter the quantity of only the service you select. (No payment is required to submit form.)
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( X )
Phone Support
$
45.00
$45/hour.
Quantity
1
2
3
4
5
6
7
8
9
10
Virtual Meeting
$
55.00
$55/hour
Quantity
1
2
3
4
5
6
7
8
9
10
Virtual Support
$
55.00
$55/hour
Quantity
1
2
3
4
5
6
7
8
9
10
In Person
$
65.00
$65/hour 2-hour Minimum.
Quantity
2
3
4
5
6
7
8
9
10
Installation
$
65.00
65.00
Total
$
0.00
Schedule Service
*
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