*  REQUIRED FIELD
Personal information:
* First Name:
* Last Name:
E-Mail:
* Phone:  (only numbers. ex. 4101111222)
 
Location:
* Address:
* City:
* State:
* ZIP:
 
Description of the problem:
Operating system:  ex. (Linux/Windows XP/Mac OS X)
Make/Model:  ex. (Toshiba A315s)
Hard drive size:  ex. (200 GB)
RAM size:  ex. (2 GB)
* Problem:
 
A technician will come to your home or office for $19 including gas and all transportation costs. Once onsite there will be a fee of $25/ quarter hour session of service. There is a 3 session minimum charge for each service call.
 
What time is most convenient for a technician to come to your home/office. Daytime/evenings/weekends. Is there a date that works best for you? Is there a time period that works best for you. I.e. Tuesday between 1pm-5pm.