Tech Wizards Service Request Form for Existing Business Customers
Existing Tech Wizards customers can use this form to request on-site, drop-off, pickup/delivery, or remote support from Tech Wizards. After you submit this form, we will contact you to provide or schedule your service.

Please note that you should use the "Back" button at the bottom of each page to go back to the previous page; do NOT use the back button of your browser or you will have to start over from the beginning. You will also be given an opportunity to edit your answers after you have completed the form to make any corrections.

Email address *
Your name (Firstname Lastname) *
Your answer
Company Name *
Your answer
Best current contact phone number (xxx-xxx-xxxx) *
Your answer
Alternate contact phone number (xxx-xxx-xxxx) - Leave blank if you do not want to provide an alternate phone number.
Your answer
Can we text reminders, updates or other important information to you - we never text advertising or marketing messages. Select as many boxes as apply.
Has your address changed since we last provided service to you? *
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