Tech-N-Go Service Request Form

Tech-N-Go Computer Service Request Form

For immediate emergency assistance, click here

For all other Tech-N-Go Service Requests,
please use the form below:

" Indicates a required field

First Name:

Last Name:

Email:

Company:

Address:

City:

State:

Zip Code:

Phone Number:

- -

Extension:

Note: You will receive a copy of your Service Request form via the e-mail address entered above.

Priority Code Pricing

1 - Non-Emergency - Off Site Phone or Remote Support (Rate $75 hr.)
2 - Non-Emergency - On Site Schedule an appointment (Rate $110 hr.)
3 - Need it fixed within 24 hrs., but not an emergency (Rate $110 hr.)
4 - Emergency - Immediate assistance Click here

- Minimum 1 Hour Service Call. -

NOTE: Travel Time: Service within 20 miles radius included.
Tech-N-Go will travel further for an additional fee.

Service Request 1
(Please type a detailed description of the service
you are requesting.)

Select
Priority Code
1, 2 or 3:

None	1	2	3

If no priority code is selected,
the response time from
Tech-N-Go may be delayed.

Service Request 2
(Please type a detailed description of the service
you are requesting.)

Select
Priority Code
1, 2 or 3:

None	1	2	3

If no priority code is selected,
the response time from
Tech-N-Go may be delayed.

Service Request 3
(Please type a detailed description of the service
you are requesting.)

Select
Priority Code
1, 2 or 3:

None	1	2	3

If no priority code is selected,
the response time from
Tech-N-Go may be delayed.

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:

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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