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ABN: 92 638 350 741

Phone: 0413 603 447

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General Enquiries: info@computermechanic.com.au

Sales Enquiries: sales@computermechanic.com.au

Postal:  The Computer Mechanic
            P.O. Box 2077
            Magill North,
            SA, 5072

Service Request

Please fill in the following information and a representative will contact you to schedule your appointment. If you need immediate assistance, please call us on 0413 603 447

The fields indicated with an asterisk (*) are required to complete the transaction.

Please supply either a phone number or email address so that we can contact you. We appreciate your time in completing the form. Thank you.

Contact Details First Name:(*)

Last Name:(*)

Company:

Email:

Phone:
( ) (please include area code)
Mobile:

Fax:
( ) (please include area code)
Address:

Suburb:

State: Postcode:

Preferred method of contact: Preferred time to contact:

Service Information Date Service Required:

Preferred Time of Service: Priority Level:

The following information will help the technician eliminate the time spent at your location. Please answer the following questions as best as you can.

Equipment Information Type of equipment (eg. laptop, router):

Manufacturer (eg. Toshiba, Netgear):

Model Number:

Serial Number:

Warranty:

Operating System:

Description of required task / problem

Please provide a detailed problem description. Error numbers and Error descriptions are extremely helpful in determining the problem. If possible, please include detailed step by step instructions to replicate the problem.

Please note: Sending us your email address means we can respond to your enquiry. If you send us your email address we will record it. We will use it only for the purpose for which you provided it. We will not give your email address to anyone else without your consent. We will not add it to a mailing list.