IT Support Form | CRC Tech Solutions

First name

Last name

Email

Phone

Preferred Contact Method

Email

Text

Scope of Work Desired. Please be Detailed. (our current policy does not allow us to service custom builds)

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.

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

I understand CRC Tech Solutions provides mobile computer repair. A private 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.