Computer Service / Upgrade Request Form


Name *
Name
Address *
Address
Please tell us where you would like your PC to be picked up and delivered.
Phone
Phone
Please choose a repair or upgrade order.
Service Requested
Please specifiy the type of repair being requested.
If you have selected a repair order, please be as specific as possible below as to the nature of the problem.
Upgrade Requested
Please specify the type of upgrade requested.
If you would like to chose certain hardware or have selected "Other", please indicate below so that we may better serve your request.