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computerXTREME
3021 Navarre Ave.
Oregon, Ohio 43616
Phone (419) 693-9900
Fax (419) 693-7200
Please fill out the repair request form to the best of your ability. The request will be sent to the repair team, and someone will return your call to confirm a date and time. Items in
Red
are required.
computerXTREME Service Request
Appointment Date
Appointment Time
Pickup, or On-Site Service?
Pickup
On-Site Service
E-Mail Address
Name
Company Name
Telephone
Fax
Address
Zip Code
Computer Brand
Computer Model
Estimated Year Purchased
Computer Speed (Mhz)
Operating System
Microsoft Windows 2000
Microsoft Windows Me
Microsoft Windows 98SE
Microsoft Windows 98
Microsoft Windows 95
Microsoft Windows 3.x
Linux/Unix
MS-DOS
Mac OS
Other (Specify Below)
I Don't Know
Driving Directions
No Directions Needed.
What is the reason for the service call?
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