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Schedule Services

We have created this easy to use scheduling form to process your service request needs. Please fill out all fields required in order for your request to be routed to to the correct department. We will contact you to confirm your services once we receive your form. Thank you for choosing Coral Springs Computer Solutions for your computer needs.

Due to heavy call volume, for non emergency repairs call back times range within within a business day for a technician to contact you back.

We no longer offer same day repairs. All services require an appointment to be made  of 24-48 hours prior to the day of service requested.

Customer Information
Date:
First Name: *
Last Name: *
Company: (if any)
Service Address: *
City: *
State: *
Zip Code: *
Phone Number: *
Email Address: *  
 
Service Request Information
Service Type: *
Customer Type:
Service Location:
Desired Service Date: *   (Service Date Must Be Approved)  

Describe In Detail The Nature Of This Service Request:
Which Windows Operating System Do You Use?
Desktop or Laptop?
Please List The Model and Serial Number Of Your PC Here?
Is There is a User Name and Password To Access Your Machine? User Name: Password:

Re-Enter Password:

 
How Did You Find Out About Our Services?
Found Us Where?
Please review the information above for accuracy. This information will be used to validate your computer service request. In order to complete this service request, we must contact you prior to services to confirm your appointment. If you choose to cancel your services, you must do so 24 hours prior to your service time. Cancellations will not be permitted when the technician arrives at your location.

    

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