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1
Type of Device
2
Model
3
Problem
4
Issue Details
5
Date and Time
6
Contact Information
Device
*
Laptop
Desktop
iPhone
iPad
Other
Next
Laptop Model
*
--- Select Choice ---
MacBook
MacBook Air
MacBook Pro
Razer
Lenovo
Dell
HP
Acer
Desktop Model
*
--- Select Choice ---
Custom PC
iMac
Mac Mini
Mac Pro
Tower or Micro PC
iPhone Model
*
--- Select Choice ---
16
15 Pro Max
15 Pro
15
14 Pro Max
14 Pro
14
13 Pro Max
13 Pro
13
12 Pro Max
12 Pro
12
11
Other iPhone Model
iPad Model
*
--- Select Choice ---
iPad Pro
iPad Model
iPad Air
iPad Mini
Other Model
*
--- Select Choice ---
NAS
Game Console
Printer
IT Support
Other Device
Phone
PCB Circuit Board
Solid State Drive
Hard Drive
Apple Watch
USB Thumb Drive
SD Card
Android Phone
Monitor / External Display
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Next
Problem
Problem Laptop
*
--- Select Choice ---
Tune Up
Virus Or Malware
Liquid Damage
Keyboard Issues
Won't Boot / Storage
Storage / Memory Upgrade
Broken Screen
No Power
Won't Charge
Other / I Don't Know
Battery Issues
Problem Custom PC, Tower or Micro PC
*
--- Select Choice ---
Tune Up
Virus
Won't Boot / Storage
Storage / Memory Upgrade
No Power
Other / I Don't Know
Blue Screen
Software Issues
Freezes
Power But No Video
Problem iMac, Mac Mini, Mac Pro
*
--- Select Choice ---
Tune Up
Virus
Won't Boot / Storage
Storage / Memory Upgrade
No Power
Other / I Don't Know
Freezes
Power But No Video
Problem iPhone
*
--- Select Choice ---
Battery Replacement
Broken Screen
Other
Liquid Damage
Won't Turn On
Audio Issues
Won't Charge
Backglass Damaged
Broken Camera Lens
Problem iPad
*
--- Select Choice ---
Battery Replacement
Broken Screen
Other
Liquid Damage
Won't Turn On
Audio Issues
Won't Charge
Data Recovery
Stuck On Apple Logo
Problem NAS
*
--- Select Choice ---
Other
Won't Turn On
Won't Connect
Printer Issues
Email Issues
Software Problems
Performance Issues
Problem Game Console
*
--- Select Choice ---
Other
Won't Turn On
Won't Connect
Printer Issues
Email Issues
Software Problems
Performance Issues
Hdmi Port
Cleaning
Problem Printer
*
--- Select Choice ---
Other
Won't Turn On
Won't Connect
Ink Issues
Jammed / Stuck
Problem
*
--- Select Choice ---
Other
Won't Turn On
Won't Connect
Printer Issues
Email Issues
Software Problems
Performance Issues
Comments Subject -
Problem
*
--- Select Choice ---
Other
Won't Turn On
Won't Connect
Printer Issues
Email Issues
Software Problems
Performance Issues
Previous
Next
Issue Details
Issue Subject
*
PO
AC Adapter
Yes
No
Is the data important (if yes - password is required)
*
--- Select Choice ---
Yes
No
Comments
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Next
Date / Time
*
Date
Time
Previous
Next
Name
*
First
Last
Business Name
Email Address
*
Mobile
*
Address
Address Line 1
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
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