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Contact/Appointment Form
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 (Will contact to confirm) -- 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 Required
$
40.00
Quantity
1
2
3
4
5
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7
8
9
10
Credit Card
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