Fixitech's PC & Network Repair Form
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Business or Home Address
E-mail
*
Kind of Assistance
Please Select
Virus & Malware removal
Computer Formatting
Computer upgrades or updates
Profile Cleanup
Profile Corruption
Slow Performance or System Clocking
No Boot or No response
Data Recovery (if Applicable)
Installations & Setups
Consulting
Computer training & How Too's
Networking setups & Configurations
Router or modem issues
System sharing setup or Troubleshoot
Printing issues
Networking connection issues (wireless & wired)
Network & Phone ports issues
System Upgrades
Not Listed
Check all that applies
Microsoft Windows
Mac or Apple
Android
Type of Device
*
Laptop
Desktop
Server
Mobile Device
Game Console (XBOX)
# of devices
Please Select
1
2
3
4
5
6
7
8
9
10
Description of technical issue
*
Submit
Should be Empty: