On-Site Request Form
Use this form to request on-site computer repair service. Our team is notified automatically that
you need help. Provide as much information as possible and a member of our team will contact
you shortly to set up an appointment. If you prefer to contact us in other ways or for general inquiries, etc.
Please enter atleast one phone number:
Device Brand: ie. Dell, Apple, HP, etc
Device Type: ie. Laptop, PC, Tablet, etc
Computer/Device ID Number
If you have previously had your computer/device serviced with us, it may have a tag with an ID
number on it. Please enter it here if you have one.