Client Contact Card

First name*

Last name

Email*

Phone*

Preferred Method of Contact*

Phone

Email

Text

Would you like to schedule tech support services?*

Yes

No

Type of service visit desired*

Home Visit

Work Visit

Public Meetup

N/A

Preferred Appointment Time {Hours of Operation: Mon - Sat 9A - 7P Sun Closed}*

Morning

Afternoon

Evening

N/A

I understand CRC Tech Solutions provides mobile computer repair. A private or public service address will be required to receive services.

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