Contacts - Questions - Service Requests - Computer Surgeon

Contacts – Questions – Service Requests

Thank you for your interest in Computer Surgeon and our full offering of helpful technology services. We are happy to be of service for problems relating to your personal computer or other technical accessories. We welcome you to complete the following information form which will send an email message directly to our service representative. This brief form will tell us if you wish to request our services, want to ask us a question, or if you simply want to know more specific information about our business. Thank you for your time and we look forward to the opportunity of serving your needs.

General Information

Name

Phone Number

Business Name (If Applicable)

Address

City

State / Province

Postal Code

Would you like to submit a help request?

Have you worked with us before?

Yes No

What is the primary use of this PC?

Personal Business Personal & Business

Do you have a backup of your data?

Yes No

Additional Information

Please provide additional information about the problems that you are experiencing or the work that you are requesting:

Terms of Service

Thank you for the opportunity to earn your business. The rate for all work done on PC’s in our office is $65/hour billed in 15-minute increments. We will spend 1 hour ($65) working on your equipment and then give you an estimate for additional time needed. All equipment that is not picked up within 30 days will become the property of Computer Surgeon, Inc. Because of the lack of value of used computer parts, it is unlikely that the equipment left behind will be equal to the value of services rendered. Customer agrees that they are still financially responsible for the entire balance due for services rendered, regardless of what Computer Surgeon, Inc. does with the forfeited equipment.

Verification & Approval

I have read and agree to the Computer Surgeon terms of service.

Computer Surgeon

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