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Computer Request Form
Computer Information :-
Computer Type :
Select
Laptop Computer
Desktop Computer
Computer Brand
Select
Lenovo
Dell
Other
Problem Description :-
If you are requesting onsite service, please indicate what dates/times best fit your schedule. Onsite service hours are daily 9 to 12 AM.
Computer Warranty Status
Please indicate if the computer is in-warranty or out-of-warranty with the manufacturer.
*
In Warranty
Out of Warranty
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Your Company Name
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A brief intro is always great. It's Helps people to identify your company.
Address
[email protected]
800-555-0101
yoursite.com