Tech Tutor and Repair Service Request Form
Request Number: Date:
Contact Information:
Requested By:
Address:
Phone Number:
E-mail Address:
Tech Tutor and Repair is not responsible for data loss.
Service: Select a Service Computer Training Computer Repair Software Training Computer Setup Printer/Hardware Repair Desktop Publishing Video Production CD Production DVD Production Request: Select a Request Reinstall Windows XP Reinstall Windows 98 Reinstall Windows ME Computer CleanUp Remove Viruses/Spyware Internet Connection Set up Wi-Fi Make CDs/DVDs Desktop Publishing
Description of Services/Requests:
Signature(s) of Customer(s):
Tracking Information
Assigned to:
Date Opened:Date Closed:
