Wilcox PC Pro Service Request Form
Thanks for choosing Wilcox PC Pro Services. Please fill out the form and include as much information as possible. This will help resolve your request quickly. I will get in touch with you as soon as possible.

Privacy notice: Wilcox PC Pro Services will not share or sell any information you provide. Your personally identifiable information (PII) is expressly used for the sole purpose of communicating directly with you and fulfilling your service requests. Form validation and checks are in place to ensure that the information you provide is safely stored and encrypted. Feel free to ask any questions about how your information is used.
Sign in to Google to save your progress. Learn more
Wilcox PC Pro Services
Wilcox PC Pro Services
Name *
Phone Number *
Example: 999-999-9999
Email Address *
Preferred method of communication *
(Call, text, email, etc.)
Please select a request type: *
Click all that apply
Required
If this is in regards to a problem you're having, please include a description of the problem in as much detail as possible:
Please add any helpful information here, if applicable.
(Can include: Device Type (i.e. Laptop, desktop, etc.), Model Name and Number (i.e. Toshiba Satellite C55-A), Operating System (i.e. Windows 10), Device under warranty? (Yes or no), etc.
Customer Acknowledgement Agreement *
1) Communication: Typically, a phone call will be the first form of communication, followed by the preferred method as listed above. 2) Guarantee: Wilcox PC Pro Services' independent contractor, Micah Wilcox, is a certified professional and strives to provide the very best in customer service. All work is guaranteed for 30 days. Any follow-up calls related to the same service during the 30-day window will be free(**Due to the nature of malware, malware removal is the only exception to this guarantee).  3) Availability: Wilcox PC Pro Services operates Monday through Friday, although weekend services can be performed upon request. If a request is submitted on Friday after 6:00 pm, you may not receive a reply until the following Monday (excluding holidays). 4) Data recovery: For data recovery to be possible, the storage medium (hard disk drive, flash drive, etc.) must be recognized by an operating system. Although I am willing to attempt to repair damaged hard drives, I do not have a certified ISO class 5 clean lab with tools to be able to guarantee that service. By checking the box below, the customer has read and understands these statements.
Required
Wilcox PC Pro Services
Phone: 513-549-2561
Email: wilcoxpcpro@gmail.com
Web: https://sites.google.com/site/wilcoxpcpro
Please like Wilcox PC Pro Services on Facebook!: www.facebook.com/wilcoxpcpro
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.