P. C. Designs
Your Computer Solution Center
Support Request
Your information is confidential. You will not be placed on a mailing list and your information will not be sold to any other company.
Please indicate specific support need(s) in the detailed instruction text area.
Please fill out the form completely and click the submit button only once.
Review your information carefully. If you make a mistake, either correct it or click the reset button.
| Last Name: |
Email Address: |
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Please Indicate Your Age. | ||||
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How would you describe your computer skill level? (Check One) | ||||
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IT professional | |||
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Above average skills | |||
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Average skills | |||
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Some skill | |||
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Beginner | |||
What are your interests? (Check all that apply) | ||||
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Consultation | |||
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Networking | |||
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New computer | |||
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Used computer or peripherals | |||
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Upgrade | |||
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Software | |||
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Web Page Design | |||
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Drivers | |||
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Repair | |||
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What Operating system do you use? | ||||
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How did you find this web site? | ||||
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Surfing the Net | |||
| Search Engine | |||
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Newsgroups | |||
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Other (Please Specify) | Please describe your profession: |
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Submit detailed instructions: | ||||
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What is your preferred form of contact? | ||||
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