Computers By Design Group, Inc
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Computer Service Repair Form
 
With the large amount of repairs we've had lately that were simple repairs made worse by unqualified technicians in cute cars and uniforms, we here at Computers By design Group, Inc want to make it as easy as possible for you to get the professional service and repair that you expect and need.

Full Name:
Email Address:
Service Address:
City:
State:
Zip Code:
Phone Number:
Time Frame:
Are you an existing Client? Yes
No
Please check all the symptoms that apply: Will not turn on (no lights)
Will not boot but will turn on
Freezing / Locking up
Errors / Blue screen
Operating slower than normal
Multiple pop-up's / Browser hijacks
Virus that cannot be removed or quarantined
New noises such as clicks, whines, grinding, etc.
Strange or erratic behavior
Use the space below to give us more specific information about the problems you are having.
Computer Manufacturer:
Computer Type: Desktop
Laptop
Server
Other
What O/S are you running:
Anti-Virus:
Anti-Virus Status: Up-to-date
Trial Ver.
Expired or Unknown
Login Name / Password (if any):
Data Backed up:
How Did You Find Out About Our Services?

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