Device Support Request Form

1

What type of device do you need help with?* This field is required.

Phone

Tablet

Computer

Gaming Console

Smart Watch

Business

Television

Audio

Website Development

Networking

Smart Home

2

Phone Brands* This field is required.

3

Tablet Brands* This field is required.

4

Computer Brands* This field is required.

5

Gaming Brands* This field is required.

6

Smart Watch Brands* This field is required.

7

Business Device Brands* This field is required.

8

Issue Selection* This field is required.

9

Please describe the issue you are experiencing.* This field is required.

10

Estimated price range: Varies between part type. Final pricing is confirmed after free diagnostic. ($15 dispatch fee collected upfront is credited toward the final price).

11

Device Damage Photos

Drag and drop files here

Select files to upload

Max. file size: 10.0MB

12

Full Name* This field is required.

First Name

Last Name

13

Phone Number* This field is required.

Please enter a valid phone number.

14

Email Address* This field is required.

example@example.com

15

Additional Details

16

City or ZIP Code* This field is required.

17

Preferred Contact Time* This field is required.

Anytime

Morning 8AM-12PM

Afternoon 12PM-5PM

Evening 5PM-8PM

18

I authorize Austin's Tech Repair Group to contact me about my repair request...* This field is required.

I authorize Austin's Tech Repair Group to contact me about my repair request...