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Drop Off Your Device - Appointment Form
In the Albuquerque area
? Submit a time that works for you to drop off your device. We will contact you if there are any scheduling conflicts. We collect and use this data only for communication with you, we never share your data with anyone.
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* Indicates required question
Device
*
Laptop (Mac, PC)
Cell Phone (iPhone, Android, or Other)
Tablet (iPad, TAB, or Other)
Other:
Your Name
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Requested Appointment Date (Optional)
MM
/
DD
/
YYYY
Requested Appointment Time (Optional)
Time
:
AM
PM
Device Issue
(What happened to your device, or what stopped working?)
*
Your answer
Have you or any 3rd party opened this device, modified this device, or attempted a repair on this device? (See
Terms and Conditions
)
*
Yes
No
Other:
Required
Please click the "Submit" button below to submit your answers. Your data is confidential, and is never shared outside of our office. By submitting this form you are agreeing to the
Terms and Conditions
and our
Privacy Policy
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