Please enable JavaScript in your browser to complete this form.Customer Information – Step 1 of 2Name *FirstLastPhone *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *NextAvailable Date / Time *DateTimePlease give us the date and time we can call you.Travel Preferences: *My Home, Venue, etc.At the Pro’s LocationRemotely (phone or internet)Choose one or more that fits your preferences.Device Type: *Click Drop DownPrinterDesktopLaptopPick which describes your Device:Make and Model *Please provide us your make and model of your desktop, laptop or printer.What is the main issue with your computer: *Click Drop DownVirus or MalwareData RecoveryCracked or Damaged ScreenSlow Computer PerformanceBlue ScreenNetwork ProblemPick the issue that you are experiencingWhat is the main issue with your Printer: *Click Drop DownNeed to connect to wireless networkPrints Blank PageNetwork ProblemsChoose the one that best fits your problem.Printer Description: *Click Drop DownLocalNetworkPick whether it is Local or NetworkHard Drive Type: *Internal Hard DriveExternal Hard DriveUSB DriveSD CardChoose the best description of your Hard Drive.Hard Drive Issues: *Hard Drive Making SoundsReceiving Hard Drive ErrorsDropped Hard DriveChoose as many as corresponse to the problem.Are other devices able to connect to local network?YesNoPlease choose one answer.Virus or Malware Error: *Please give us as much information on any Popup messages or errors. Do you have Virus Protection enabled?Blue Screen Error: *Please give us as much information on any Blue Screen error message or send a screen shot with the error.Hard Drive Error: *Please provide any hard drive errors.File Upload Click or drag a file to this area to upload. Please upload any pictures with errors or problems.Network Issues: *Please describe best as you can on what is not connecting to the internet or local network.NameSubmit62250