Name:
*
Email:
*
Phone:
Current Client:
Yes
No
Priority:
Very High (same day)
High (next day)
Medium (within 3 days)
Low (within week)
Category:
PC
Server
Laptop
MAC
Printer
Purchase Request
Quote Enquiry
Remote Control Assistance
Service Call Follow-up
Software Issue
Virus / Spyware etc
Other
Issue:
Crashing
Cannot connect to….?
Cannot start computer
Faulty/Broken….?
No internet connection
Set-up internet
Set-up new computer
Set-up wireless network
Upgrade existing computer
Other
?
Operating System:
None
Windows Vista
Windows XP
Windows Server
Windows 2000
Mac OS X
Linux
Details:
Found Us By:
Word of mouth
Referral
Google
Ad - Newspaper
Ad - Magazine
Business Card
Car Signage
Should be Empty: