ACME'S E-Service Request

Set Up A Appointment To Drop Off Your Computer Or Request In-Home Service

On Line Service 24 Hours A Day 7 Days A Week

Fields with a («) are required.

 

1. Who Are You ?

My company name:
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My name:
«

My phone number:
«

My cell phone or pager:

My email address:

I'm available during these hours:
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Have we helped you before?
Yes, I'm a returning customer
No, I'm a new customer

2. What Is Your Billing Address?

My billing address (including city, state, and zip):
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3. Is There An Alternate Address Or Contact?
We'll arrive at your address based on the address you entered above, and we'll ask for you when we arrive onsite. If you want us to come to a different location, enter that information below.

Please provide service at this alternate address:

If you want us to contact a different person when we arrive onsite, please enter that information below.

Alt contact name:

Alt contact phone number:

Alt contact cell phone or pager:

Alt contact is available during these hours:

4. What Can We Help You With?

What sort of service do you need?
Install or Upgrade   Reconfigure   Repair

What will we be working on?

For software issues, tell us the product and version:

For hardware and printer issues, tell us the model and serial number:

Is this equipment covered under a service contract?
Yes   No   Not sure

Please describe your problem or service request in detail below, including any available error messages. A detailed description ensures that the technician we dispatch will be qualified to assist you.

Describe your problem or service request:

5. What's The Next Step?

Call me to schedule this service. We'll call you (or your alternate contact) within one business day to arrange a time for service.

Dispatch A Technician without delay. We'll send a technician to your location as soon as possible, then we'll call you to confirm that help is on the way.

Please Note: If we dispatch a technician and he or she is unable to provide service because the address or contact information you entered was wrong, or because you or your alternate contact could not be located, you will still be billed for the visit. To avoid this, please make sure either you or your alternate contact will be available when we arrive onsite.