IT Service Request Form-1

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Full Name:*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: 00-000-000-000.
E-mail:*
Remote SupportLaptop Fault DiagnosisPC Healthcheck (£25 per hour)Wireless (Wi-Fi) Networking AdviceLicenses (for home use)Antivirus Install and Setup
On-site SupportDesktop PC RepairMemory (RAM) UpgradeOperating System Installation/PC ResetsPC Setup and ConnectionWireless (Wi-Fi) Networking set up – Channel Optimisation, General ConsultationCabling Work and AdvisoryHardware Setup for New Devices (Client Devices)Laptop Screen ReplacementLaptop Keyboard RepairLaptop Charging Problems
Device*
Other? Specify make/model in the section provided. Note: No refunds on ordered parts.
Make/Model
How can we help?
Service Notes:
By signing below, you consent to Tech Care IT's engineer performing the work and services you have selected on this form. Any additional hours required will be charged at the standard hourly rate.
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If from a Flat/Apartment, Please specify what Building. Thank you!
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Get in Touch with Us! 💻