On Site Service Order Details  
     
  Please answer these simple questions and we will have your
service, usually we can be at your residence in less than twenty four hours.		  
     
 
First Name:
Last Name:
Service Address:
 
City: State: Zip:
Email Address:
Phone:
Alternate Phone:
Fax:
Mobile Phone:
Coupon Code:
How did you hear about us?
Requested Date Of Service:
Requested time:
What type of computer(s)
do you have:
Windows
Apple/Macintosh
Unix/Linux
I don't know
Service(s) Needed:
Network Configuration/Security Setup
Number of laptop computers
Number of desktop computers
Other devices eg. (XBox, PS2, Tivo)
Data Backup & Recovery
Spyware & Virus Removal
Computer Upgrades
Drive Installation
Memory Installation
Software Installation - Single Title
Operating System Upgrade
Computer Maintenance
Data Migration
Update Operating System
Software Service
Other Maintenance - Hourly Rate
New Computer Setup
Internet Security Check Service
Computer Watch
Computer Cleansing
On Site Training
Hours Of Training
Applications you wish to be trained on.
Basic Windows Functions
Microsoft Office
Advanced Microsoft Office
Basic Internet Training
Macintosh Training
Basic Linux Training
Other:
Other Service
Please discribe the service that you need
please be as detailed as possible, you will
have a quote for this service within two hours.
 
 
 
 
 
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