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Vijay Zone Computer
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Intake form
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Name
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Email address
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What type of service do you require?
Please select at least one option.
Computer repair
Windows installation
Design services
IT support
What operating system are you currently using?
Select
Windows
macOS
Linux
What is the brand of your computer?
What is the model of your computer?
Please describe the technical issue you are facing.
When did the issue occur?
How urgent is your request?
Select
Not urgent
Somewhat urgent
Urgent
Preferred method of contact
Select
Phone
Email
In-person
Do you require in-home service?
Select
Yes
No
What is your preferred appointment time?
Which service or services are you interested in?
Please select at least one option.
Computer/Laptop Tecnical repairing
Windows installation
Expert design services
Remotaly Any Softwere Installation
Computer Books
Additional questions or comments
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