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Client Information for Computer Repair Appointment
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Name
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First
Last
Primary Phone Number
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Secondary Phone Number
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Text Messaging
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Not preferred, but okay if needed
Do not text
Landline -not able to text
Email
*
Preferred Appointment Time
*
Morning
Afternoon
Evening
Weekend
Any time
Preferred Appointment Day
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Address
*
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Line 2
City
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Zip Code
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Description of Problem
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Home
What We Do
Website Development
Social Media Services
Content Creation
Drive Website Traffic
Digital Marketing Plans
Our Story
Blog
Contact Us