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Jeff ComputersTM Trouble Ticket

Please fill out this form to contact us.

Contact Form (Required fields in BOLD)
What is your Name:

Company:

Phone:

Cell Phone:

What is your Email Address:

Mailing address:

City:

State:

Zip:

Can you describe the problem in a few words:

Describe the computer problem:

Please list anything that would be helpful
such as all problems you are having, what
caused the problems, brand, model, serial
number,  passwords necessary to test...

 

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