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Computer Assistance Form
1
Name
*
This field is required.
First Name
Last Name
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2
Phone Number
*
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Area Code
Phone Number
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3
Can This Number Receive Text Messages?
*
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Want to stay updated on your device repair with The Tech Plug, LLC? Select Yes below. We'll send you status updates and let you know when your device is ready for pickup! Msg&data rates may apply."
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Yes, I want to receive text messages from The Tech Plug, LLC about exclusive deals, new products, and updates. I understand I can unsubscribe at any time. Message and data rates may apply.
No, I do not want to receive text messages from The Tech Plug, LLC
Please Select
Please Select
Yes, I want to receive text messages from The Tech Plug, LLC about exclusive deals, new products, and updates. I understand I can unsubscribe at any time. Message and data rates may apply.
No, I do not want to receive text messages from The Tech Plug, LLC
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4
E-mail
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5
Type of Computer
*
This field is required.
Please Select
Laptop
Desktop
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Please Select
Laptop
Desktop
All I need is the power cable when you bring your computer.
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6
Number of Computers
That need to be repaired.
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7
Operating System
*
This field is required.
Please Select
Windows XP
Windows Vista
Windows 7
Windows 8
Windows 10
Windows 11
Mac OS 10.4 (Tiger)
Mac OSX 10.5 (Leopard)
Mac OSX 10.6 (Snow Leopard)
Mac OSX 10.7 (Lion)
OSX 10.8 (Mountain Lion)
OSX 10.9 (Mavericks)
OSX 10.10 (Yosemite)
OSX 10.11 (El Capitan)
macOS 10.12 (Sierra)
macOS 10.13 (High Sierra)
macOS 10.14 (Mojave)
macOS 10.15 (Catalina)
macOS 11 (Big Sur)
macOS 12 (Monterey)
macOS 13 (Ventura)
Not listed
I have no idea!!!
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Please Select
Windows XP
Windows Vista
Windows 7
Windows 8
Windows 10
Windows 11
Mac OS 10.4 (Tiger)
Mac OSX 10.5 (Leopard)
Mac OSX 10.6 (Snow Leopard)
Mac OSX 10.7 (Lion)
OSX 10.8 (Mountain Lion)
OSX 10.9 (Mavericks)
OSX 10.10 (Yosemite)
OSX 10.11 (El Capitan)
macOS 10.12 (Sierra)
macOS 10.13 (High Sierra)
macOS 10.14 (Mojave)
macOS 10.15 (Catalina)
macOS 11 (Big Sur)
macOS 12 (Monterey)
macOS 13 (Ventura)
Not listed
I have no idea!!!
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8
Kind of Assistance
*
This field is required.
You may select more than one option.
Virus Cleaning
Computer Formatting
Computer Updating
Part Updating
General Cleanup
Backup Data
Install Hardware
Tune Up
Increase Performance
Diagnostic Test
Install Software
Setup Computer
Computer Parts
Other
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9
How did you hear about us?
*
This field is required.
Yelp
Nextdoor
Craigslist
Facebook
Instagram
Google
Friend/family
Other
Yelp
Nextdoor
Craigslist
Facebook
Instagram
Google
Friend/family
Other
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10
Preferred Drop Off Date and Time:
Please allow 3 to 7 days for all computer problems.
-
Date
Month
Day
Year
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12
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Hour
00
10
20
30
40
50
00
00
10
20
30
40
50
Minutes
AM
PM
PM
AM
PM
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11
Details
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