TECHRYAN - Service Request Form

Service Request Form

There are two ways to schedule a service call, you can submit the simple form below or you can
call 317.837.7719 (office) or 765.720.1027 (mobile)

This form is a request for service to be performed at your home or office. Please enter the information below to help us better serve you. After submitting this form your service order will be recorded and a technician (Ryan Gruenholz) will be notified and dispatched to the location that you specify. If this is an emergency service request please state so in the Explanation text box below. We offer extended hours until 9:00pm* weekly and until 6:00pm on weekends*.

* Labor rates vary on extended service hours, please see PC Repair section of website for details

Please provide the following contact information:

Name:

Title (optional):

Organization:

Street Address:

Address (cont.):

City:

State/Province:

Zip/Postal Code:

Contact Phone:

E-mail:

Select any of the following items that need service:

Computer Printer

Monitor Scanner

Software Errors Software Training*

Internet Training Network Trouble

*Software Training Includes: Intuit Quickbooks | MS Word | MS Office | Internet Explorer | Photo Editing

Does your computer boot into Windows ?

Yes No

Service requested for:

Please explain briefly the problem you are experiencing ?

Please enter the best time to contact you:

Day: Time:

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