PC Service Incident Report
Saving Money PC Tune Up
PC Owner Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Date
-
Month
-
Day
Year
Date
What PC do you have?
HP with Windows 8/10
Dell with Windows 8/10
Lenovo PC with Windows 8/10
Ibm Pc with Windows 8/10
Gateway with Windows 8/10
Acer with Windows 8/10
Apple with Windows 8/10
Other
The problem
*
Very slow
Virus or trojan infection
Glitches and/or blinking
Error message Blue
Error message black
Physical damage need replacement
Monitor faulty
Sound problem
Video problem
Hard drive problem
Ram Memory problem
CPU processor problem
Motherboard problem
Need help with what PC to buy
Wifi/Internet problem
Other
File Upload of pc photo
*
Browse Files of photo
Drag and drop files here
Choose a file
Cancel
of
What happened before the problem and what was attempted after?
Signature
Please verify that you are human
*
Payment for service
prev
next
( X )
Product Name
PC Cleaning and Tune up
$
Free
Credit Card
Print
Save
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