Eastern Computer   *Repair Form *GPS *Appointment
🔶 Please make Appointment for Dropoff  in Shop/Estimate/Repairs/Services

🔶 Submit Repair Form with your (Name) +( Mobile# Number)

🔶 Our Staff will SMS📲Text  Confirm your appointment

🔶New Customer please fill out  name and address

🔶Thank you for being our customer!

 Any Computer Questions (Call 856-309-7888) (📲Text only 856-309-8181 )
  📧Email:  

Shop Location 📫208 S. White Horse Pike Somerdale, NJ 08083  
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📲 Mobile Phone# 📞 *
📞Cellular Phone#📲For Text (SMS)   type  number only (example) 8563097888
🟦First Name 
new customer  info ( name + address+zip +cell#)
repeat customer  info  ( name +cell#)
🟦  Last Name 
🟦  Company Name 
( Skip - if you not company's computer )
🟦  Street Address 
new customer type address or customer update new address or ( skip, if same address on file)

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🟦  City,  State,  Zip Code
Example: SOMERDALE, NJ 08083 (or type zip code )  
new customer type address or update new address or ( skip, if same address on file)
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🟦 LOGIN USER
      (Local account )   (LOCAL LOGIN)  admin.  user   & password & pin   (type ?  - if you don't know  )  
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🟦 PASSWORD   
 (Local Login password )   need admin login user/password to check hardware info      (type ?  - if you don't know  )
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🟦PIN
PIN login your computer     (type ?  - if you don't know  )  
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🪐Email
email associate with  CLOUD/eMAIL/ Microsoft Account(MSA);  Google ;  Apple.ID   Account  required to save  local & cloud files  or    (type ?  -   if you don't know  )      
🪐Email Password
password for eMAIL; MSA ; cloud;  Google ;  Apple.ID  
Account  password required to save  local & cloud files  or    (type ?  -   if you don't know  )   
🕐SCHEDULE 0️⃣Drop Off (In Shop ) Repair
 Please make Appointment for all repair  *** SKIP - if you don't need  ***   

 Appt.  Shop Hours:
🕐Sunday & Holiday Closed 
🕐Monday- Saturday  10am-5pm;

Request different appt. Hours  📲Text 856-309-8181  or (Call☎856-309-7888) 

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🟦  REFERRAL (Name)
Referral from our loyalty customer (Name) get free Computer diagnosis  
or 
SKIP - if you Repeat or New Customer    
❓ PC PROBLEM ❓   
What are the issues with the computer?        (type  ❓    -  if you don't know )
❓PC Problem Detail [CUSTOMER SAID]
List computer issue detail   or  don't know 
❓ other
🟩 skip to end &  Submit🟩 the repair form (if at shop )
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🔷 🔷 🔷   YOUR COMPUTER INFO  🔷 🔷 🔷
**Please bring Power Adapter & Cable(AC) for Laptop & Tablet & All in One Computer Repair    or  (can repair if we have  spare AC)       
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🔷 BRAND
  (click  ?  - if you don't know PC Brand Name )   
🔷 PC MODEL 
  (type ?  - if you don't know  ) or  APPLE {A#### EMC####}
🔷OPERATING SYSTEM (OS)
  (click  ?  -  if you don't know OS or SKIP  )
🔷Save Files  with Repair
(save files required email & password) 
Save Local Storage Files before Repair ( Favorite/Bookmark;  Document folder; Photo/Video folder; Music folder;  Desktop folder);  
**Save Cloud Files (required Account  email and password)
Clear selection
🔷Save App/Software  with Repair
subscription/paid App  can be reinstall after repair 
🔷  Protection/Security
Clear selection
Submit
Clear form
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