PC Repair Check-In Form

Please Fill out this form to check in your computer for service. You can fill this out before dropping your computer off, or you can fill it out when you drop by.

What do I need to bring in?

  • Your Computer!
  • Windows CD and CD Key and any other software to be reinstalled.

Unless you're having an issue with them, you can leave these at home

  • Monitor
  • Keyboard/Mouse
  • Power Cables
  • Printers/Scanners/etc

Contact Info
Name*
Address*
City*
State*
Zip*
Email Address*
Phone*
Computer Details:
Make
Model
Describe the Problem and/or Service Required
Terms of Service I have read and agree to the Terms of Service.
Security Code*