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Appointment Form
ATTENTION: ALL PROPOSED APPOINTMENTS MUST BE CONFIRMED VIA PHONE CALL OR TEXT BEFORE CUSTOMER ARRIVAL, AND WILL ONLY BE RESERVED WITH A $55.00 DEPOSIT.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Description of Issue (Please include as much information as possible. This includes PC brand, model number, all error messages, PC serial number, service tag number, etc.)
*
Proposed Appointment Date/Time -- ALL APPOINTMENTS MUST BE CONFIRMED VIA PHONE CALL OR TEXT BEFORE CUSTOMER ARRIVAL -- If an after hours appointment time is needed, please notate in the message. (ALL SALES AND FINANCIAL TRANSACTIONS ARE FINAL; NO REFUNDS.)
*
*
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Appointment Deposit for 1st hour
(This is required to propose appointment.)
$
60.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Submit
Should be Empty: