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Full Name:  
Email Address:  
Telephone:  Ext    
Computer Admin Password:  
Type Of Equipment: Desktop Laptop Monitor Printer
Brand:  
Power supply provided with laptop or printer: Yes No
Files to be Saved: Pictures Documents Music Data
If necessary, may we delete all files (data and software programs) in order to re-install the Operating System and make the computer function again? Yes No
 
Help Topic:  
Subject:  
Work to be performed:
 
*All computers that are not picked up within 14 days of repair will be subject to a surcharge of $50.00, if not picked up with 30 days of service the computer will become the property of Main Street Computers. Good Faith arrangements can be made to extend this time if necessary. We will not be held responsible for lost data due to storage or software defects.
I have read, understood and agree to the store policy.