IT Support Form | CRC Tech Solutions

First name

Last name

Email

Phone

Preferred Contact Method

Phone

Email

Text

Brief Scope of Work Desired

Are you Ready to Schedule IT or Computer Repair Services?

Yes

No

If yes, please provide a complete service address; incomplete requests will not be fulfilled.

Request Priority Level

Low

Medium

High

Critical

Is Your Data Backed Up? CRC Tech Solutions will not be responsible for data loss.

Yes

No

Unsure

System Type

Desktop

Laptop

Custom Build

Other

Device Operating System

Device Brand & Serial #

Type of Service Appointment Desired:

Home Visit

Work Visit

Public Service Location

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

I understand providing incomplete and inaccurate responses, CRC Tech Solutions may not be able to assist in a timely manner.