Rush Computers Services- Form

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How can we help you ?
Co-operate/Busines:

Company NameRegistration Number
Desired Services:

I.T SupportNetworking ServicesCCTV & InstallationsLaptop QuotationsSignage & BiilboardsWeb Design & DevelopmentHTML - App Development
Do you want on-site assistance?

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Do you prefer remote assistance?

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Emergency Contact Information Please enter the name of the company representative who should be contacted in the case of an emergency.
Full Name

First NameLast Name
E-mail
Address

Street Address

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Postal / Zip CodeCountry
Any questions or concern:
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