Service Request Form

(Fill out this form to request computer servicing. Once finished click the "submit" button. An email will be sent with the information you provide to all parties involved. Thank you.)

General Information

Name Employee #
Date Room#
 

Computer Description

Computer Model
Service Tag P.C.#
 

Problem

1. General nature of problem (choose one):

2. Describe, as best you can, what the problem is:

 

6801 S.W. 24th St. Miami, Fl 33155 | 305-262-8300