Computer Repair Drop Off Form

First Name

Last Name

Phone

Email Address

Drop Off Time: xx : xx AM/PM

Drop Off Date: mm / dd / yyyy

Select Your Device Select Your DeviceLaptop / NotebookDesktop PCGaming Desktop PCTablet / iPadMobile Device / iPhoneExternal Hard DriveServerGamin Console

Device Manufacturer Device ManufacturerACERAPPLEASUSDELLFUJITSUGATEWAYHPLenovoMSIIBMRAZORSONYOTHER

Device Serial Number:

Device User Name

Device User Password

Problem Description

Agreement Agreement Agree to PC Expert Services Repair Terms & Conditions

Number