Alpine Computer Solutions – Service Request Form Computer Repair RequestA form designed to assist with the collection of pertinent information about your computer and how you use it. The purpose of these details is to offer you the highest level of service possible. Our goal is that after repairs are done and the computer is returned to you that your experience is as close to the same as before you brought the computer to us. The level of detail you use on this form will determine the level to which we will be able to deliver this standard. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Who referred you to us, or where did you find us: *Requester InformationFull Name *FirstLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeThe above address is my;Business/Work AddressHome AddressWhere I am currently stayingEmail *Home Phone Number (if you have one)Mobile Phone *Can you receive updates by SMS - Text Messages? *Yes, good solution for me!I can, but not really my strengthNo, I don't use text messagingLet's find out more about you and your need:Please check all that apply regarding your files:I have a multitude of files on the computer that I need backed up.I already backed up my files, I release you to just reload the computer and get it working again, all files will be removed.I use Google Chrome as my main browserI use Firefox as my main browserI use Safari as my main browserI know how to sign into the browser and have done so and backed up all of my favorites, bookmarks, passwords etc.I am not sure and need my favorites, bookmarks and passwords backed up.I need all of my files backed up and am not sure how it works, I am requesting support to more fully understandPreferred Contact Method *EmailPhone CallText MessageIn-PersonDevice Type *DesktopLaptopMobilePrinterProjectorOtherDevice Brand and Model If Known:Priority Level *LowMediumHighCriticalIssue Category *HardwareSoftwareNetworkAccount AccessOtherIf it is a computer, what category: *PC - (Dell, HP, Lenovo, Asus, Acer, Custom Built, etc.)Mac - Apple ComputerLinuxComputer Logon Password or Pin: *Drop Off Location OR Onsite Request:Drop off at 2474 Patterson Road, Ste 40 in the Keller Williams / Major Mortgage BuildingDrop off at 2939 F 1/4 Road (Home Office)Onsite Service - at the address listed above - additional cost consideration.Brief Description of the Issue * to your or Steps to Reproduce the Problem *Any Error Messages Received *Actions Already Taken to Resolve the Issue *Attachments (for screenshots or relevant files) Click or drag files to this area to upload. You can upload up to 10 files. Available Times for SupportDays *Times * Permission to Access Device Remotely *YesNoSubmit Request
