Tuesday, January 06, 2009
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Service / Appointment Request Form
Please fill out this form and email it to us so that we can further assist you in solving your computer problems. Our staff will respond to your inquiry as soon as possible. For a faster response please call us at (424) 204-6242. We are not available? Please leave a message and we'll get back to you as soon as possible.

*NOTE: (Bold titled fields require an entry).
     
Your Name:  
Your E-Mail Address:  
   
Your Phone #  
   
Contact Method:  
What Service Do you need?  
I would like an appointment:  
What time is best for you:  
Address:    
Location  
     
Description of Issue  
     
     
     
Type of Internet Connection at this Location:
 
     
     
     
     
     
     
     
     
     
     
     
     
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