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Emergency Service Request
If your Service Request does not require Emergency - Immediate Assistance, Tech-N-Go recommends you use our regular Service Request Form by clicking here.
Please use the form below:
 
"required field" Indicates a required field.
 
required field First Name:
Priority Code Pricing
 
4 - Emergency - Immediate assistance (Rate $140 hr.)
Minimum 1 Hour - Service Call  (4 Hour Minimum during Non Business Hours).
NOTE: Travel Time:
Service within 20 miles radius included.
Tech-N-Go will travel further for an additional fee.
required field Last Name:
required field Email:
Company:
required field Address:
required field City:
required field State:
required field Zip Code:
     
required field Day Phone: - - Extension:
       
Night Phone: - - Extension:
       
required field Emergency Service Request
(Please type a detailed description of the service
you are requesting.)

Select
Priority Code

required field 4
 
       
Any additional information or questions to help us serve you better?
 
Authorize Service:
Please type the word YES in the box below to authorize Tech-N-Go to perform the above requested services:
required field 
   
 
Note: You will receive a copy of your Service Request form via the e-mail address entered above.
 
Please note that all contact information will be kept confidential and will not be sold or released. (Please see our Privacy Policy for more information.)
 
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