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    SERVICE REQUEST

You can send us an email or use the form below to request for onsite computer service, installation, or network setup.


Name

Email

Phone

Address1

Address2

 

 

 

  (ex. 808-123-4567)

 

 


Service Site:    Office     Home     Other specify

Desired Service Date (at least 2 days ahead from today's date)

                   M   D Y


Device Type       
Brand/Model    

Brief Description of Problem/Symptoms or Describe work order.
                       

                      

   

A+ Certified
Computer Technician

DELL Certified Systems Expert