Submit Service Requests

Your Name: Company: Please enter at least one phone number. Home Phone Number: Mobile Phone Number: Work Phone Number: Email Address: Street Address/PO BOX: Apt/Suite Number: City: State: ZIP:

Service Requested/Problem: Device Brand: ie. Dell, Apple, HP, etc Device Type: ie. Laptop, PC, Tablet, etc Computer/Device ID Number If you have previously had your computer/device serviced with us, it may have a tag with an ID number on it. Please enter it here if you have one. Preferred Store/Location: No PreferenceTech Stop - <Shop> How did you hear about us? Please Select an OptionEmail or Mailed NewsletterExisting CustomerFlyerGoogleSocial Network RefferalSponsorship AdvertisingStore Drive ByUnknownWebsiteWord of Mouth RefferalYelp This little test is just to make sure you are a real person and not a spammer so that our oncall technician only receives mobile phone notifications for genuine service requests.