Repair Form

DATE

Name *

Business or Private

Business Name *

Email *Your Email by which we will get back to you.

Subject *Your request Subject for which you are going to raise the ticket.

Problem Description *Please enter the details of your request. A member of our support staff will respond as soon as possible.

Computer or Phone Information (Make Model and Type) *

Phone or Computer Password *

Operating System
Windows 10
Windows 8
Windows 7
Windows Xp /Vista

Is The system under warantee
Yes
No

Contact Number *

Address *

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