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Service Request Form
Hey there! Please fill out and submit this form to request service.
7
Questions
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1
What would you like?
Select a service from the dropdown.
Please Select
I want to have a custom computer built or upgrade an existing one.
I need my computer looked at, it's not working correctly.
I'd like to request a Tech Assistance.
Please Select
Please Select
I want to have a custom computer built or upgrade an existing one.
I need my computer looked at, it's not working correctly.
I'd like to request a Tech Assistance.
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2
What kind of computer would you like me to help you build? Or if upgrading, what do you need help with? (If you're not sure what kind of computer you need, just say "Not sure" and we can figure it out!)
Tell me more!
Describe the type of computer you want me to build or if upgrading, let me know what you need upgraded.
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3
So your computer isn't working well?
*
This field is required.
Please describe the problem.
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4
Seeking Tech Assistance?
*
This field is required.
How can I help?
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5
Name
*
This field is required.
Please provide your name.
First Name
Last Name
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6
Email
*
This field is required.
Please provide your email.
example@example.com
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7
Phone Number
Please provide your phone number.
Please enter a valid phone number.
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