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Onsite Service
Request Form
We can provide quotations on computer repairs by simply filling out this form. This will free up your time and avoid waiting for a technician to call. Fill in the details below and hit the submit button. We will soon be in touch.
Customer Details
Your Full Name:
(Required Field)
Address
Phone Number
(Required Field)
Your Email address:
(Required Field)
Mobile Phone
Fax
Computer Type
-Select -
Desktop Computer
Laptop Computer
Operating System
-Select-
Windows XP
Windows 2000
Windows NT
Windows ME
Windows 98
Windows 95
Windows 2003 Server
Macintosh
Comments
Technical Support:
support@mrfixit.com.au
Contact: Dale Peters:
dale@mrfixit.com.au
Date Created: 9 September 2004
Last Reviewed: 9 September 2004
Site Design:
Tzine Pty Ltd
