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PC Repair Form

Business Network Members
  1. Brighter Image Photography
  2. OCP Security & Surveillance
  3. Ulano corp
  4. Trent Beverage Company

Computer Repair Form Template

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PC Repair

Date of Request: ____/____/_____ Requesting Party:_______________________

General Description of Computer Problem:






Computer Information:

Make: ____________________________________ Model: _______________________

Operating System: _______________________________________________________

Is the computer under warranty: [__] Yes [__] No

Contact Information:

Name: ______________________________________

Address: ___________________________________

Phone: _____________________________________

Email: _____________________________________

Payment Method:

[__] Cash

[__] Credit Card

Amount Due: $__________________

Customer Signature

Business Network Members
  1. CoconutHead Landscaping
  2. Tidy Up Maid and Maintenance
  3. Southwest Professional Clean
  4. Ed's Custom Painting

Organization & Communication

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