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Contact Information
Full Name *
Email Address *
Phone Number Ext:
Alternate Phone Number
Alternate Email Address(es)
Help Topic
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Ticket Details Please Describe Your Issue
Issue Summary *
Drop files here or choose them
Site visit job number
Device Information (Optional Fields)
Type
Brand
Model *
Serial Number *
Service Tag
Part Number
Password
Backup Required * Depending on your issue, data loss may be possible during the repair process, to prevent this we can back up your data at the start of the process, however data backup may not be possible if the hard drive has failed and is unreadable. Please note that data backup is a billable service.
Accessories Please select all accessories that have been left with your device.
Laptop Bag/Case
Charger/Power Adapter
Power Cord
Other