Please fill in the form below to arrange a collection and repair for your faulty laptop. All fields marked with a red asterisk (*) are required.

 

Contact Details

Full Name *
Address *
Town / City *
Post Code *
Landline Number    please supply at least 1 contact telephone number
Mobile Number    (mobile numbers are preferred for fast turnaround)
Email Address *

 

Laptop Information

Make*
Model *
Serial Number    (please complete this field if serial number known)
Main Password    (why do you need my password?)
Problem *

 

Collection Request

Collection Date (from) *
Collection Date (to) *
Special Instructions
 
  * I agree to the terms and conditions