Name *

First Name

Last Name

Phone *

In case we can't reach you by email.

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred Method of Contact *

Email

Phone

Computer Type *

My Computer is a:

PC

Mac

Multiple Computer Discount *

I have more than one computer that needs to be tuned up (Normally $75 for each additional computer, only $50 per computer with this special offer)

Yes

No

Other I.T. Issues? *

I need help with other I.T. issues

Yes

No