Computer Repair Inquiry Form

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First name

Last name

Email

Phone

Request Priority Level

Is Your Data Backed Up?

Yes

No

Does Not Apply

System Type

Laptop

Desktop

I am unsure

Please enter a description of problem.

Device Model/Brand?

Operating System?

Device Serial #, EMC#, Service Tag#

What Type of Issues are you experiencing?

Hardware

Software

Battery/Charging

Inaccessible/Lost Data

Damaged Data Media

Display/Screen/Monitors

Sound/Speakers

No Power

Blue/Black/Error Screens

Other, I'll Explain below:

Please Explain Further

**IF THIS IS AN I.T. EMERGENCY

PLEASE TEXT US (678) 753-6175

Thanks for your submission, we'll be in touch

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