Fill out the form below to let us know about a problem that you are having so we may better serve your needs.

What type of computer is it?

Desktop Notebook Other  (Enter system type, model, service tag for Dell, below)

 
What operating system does the computer have?

Windows 98/ME Windows 2000 XP HomeXP Professional  Server 2000 

Server 2003           Windows Vista
Does the system power up to the Windows desktop?  If No, have you checked all of the power connections, including a Power Strip if used?  Try plugging the system directly to the wall outlet.

Yes No
How do you connect to the Internet?

Cable Modem DSL   Dialup   Other 

  (If Other, Please Specify)

Do you have an up-to-date Antivirus program ie.. Norton, McAfee, PC-Cillin?

Yes No
Enter a description of the  problems you are experiencing in the space provided below:
When is the best day and time to schedule an on-site appointment?

Mon  Tues  Wed  Thurs  Fri  Sat
 

Tell us how to get in touch with you:

Name
Address
City, State, Zip Code
E-mail
Home Telephone
Cellular
Please contact me as soon as possible regarding this matter.

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