Service Request Form

Service Request Form

Please provide your information and you will be contacted.
Full Name*

First NameLast Name
Business Name (if applicable)
Phone*

Area CodePhone Number
E-mail*
Address*

Street Address

Apartment/Unit #

CityProvince

Postal Code
How Did You Find Us*
I Am A Senior (65+)

$100.00 Minimum Charge To Qualify For Discount
Service Type*

Drop-Off - Near Sherwood ParkPickup & Delivery - Add $79.00 (Edmonton/Sherwood Park only, inquire for other areas)In-Home/Mobile Service - Add $39.00 (Edmonton/Sherwood Park only, inquire for other areas)
What Do You Need Help With (Check All That Apply)*

Hardware Repair/UpgradeSlow Computer/TuneupWindows Upgrade/InstallationVirus/Malware Removal Or SetupData Services (Backup/Recovery Etc.)Computer CleaningComputer Training/LessonsVHS to Digital Conversion (In-Home service not available)Software InstallationNew/Refurbished PC/Laptop PurchaseNew PC SetupCustom computer build (In-Home service not available)Other
Please explain/provide details. Include name and model of computer/device. Include any error messages/codes if applicable*
Payment Method*

E-TransferCredit Card (Add 4%)PayPal (Add 4%)Cash
Photo Uploads

Browse Files
Take a photo of error messages, product stickers, model# info etc. Cancelof
Promo Code
* Prices do not include GST.

* Program installations are extra (MS Office etc.).

* You may be required to purchase a product key if you are upgrading software or a Windows operating system.

* Data backup/restore rate is per hour if required - We are not responsible for any lost hard drive data.

* Minimum charge is $49.00 - After hours (6PM) $50.00 surcharge.

* Any item not picked up after 30 days will be considered abandoned and will become the property of The PC Guy.
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