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Rapid Response Service Request Form
How Rapid is this Rapid Response?
: Expect a response within 5 to 20 minutes during the work week.
Use This Form and Receive an Instant $10 Discount on Drop-off Service!
Your Name
Your Phone with Area Code
Full Service Address
Zip Code
Email
How did you hear of Tech Team?
The New York Times
A good friend
Quentins Friends
Angies List
LinkedIn
Huffington Post
Gotham Gazette
About.com
Google.com
NY Press
The Village Voice
NYC Subway Ad
Yahoo.com
Baristanet.com
It came to me in a dream
CNN
NPR
Macworld
Tekserve
YellowBook
Superpages
Craigslist
other
Service Request: What is your issue and how would you like it resolved?
My computer is a:
Choose from list
LAPTOP running Windows XP Home
LAPTOP running Windows XP Pro
LAPTOP running Windows Vista
LAPTOP running Mac OS X 10.3 aka Panther
LAPTOP running Mac OS X 10.4 aka Tiger
LAPTOP running Mac OS X 10.5 aka Leopard
DESKTOP running Windows XP Home
DESKTOP running Windows XP Pro
DESKTOP running Windows Vista
DESKTOP running Mac OS X 10.3 aka Panther
DESKTOP running Mac OS X 10.4 aka Tiger
DESKTOP running Mac OS X 10.5 aka Leopard
See my request
I back up using
Choose from list
no backup - i live dangerously at my own risk
CDs or DVDs
External Drive
External Media Drive
USB Flash Drive
See my request
How do you connect to the internet?
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Time Warner Cable
Comcast Cable
Verizon DSL
FIOS
Dial up on AOL
Other Dial up
See my request
I'm seeking
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a house call (NYC or NJ)
office support (NYC or NJ)
to drop off (Bloomfield, NJ)
a free pick up (Bloomfield, Glen Ridge, Montclair)
to mail in (Bloomfield, NJ)
phone support (Nationwide)
remote support (Nationwide)
on the
Morning
Afternoon
Evening
of
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If possible, recommendations for resolution will be based on your budget constraints.
My budget (labor + parts) for this project is:
375.00
250.00
125.00
500.00
750.00
1500.00
3000.00
5000.00
Phone or Remote Support
I've read and I agree to the
Terms and Conditions
required for service.
Please apply a $10. Discount if applicable.