Intake form

Name *

Email address *

What type of service do you require?

Please select at least one option.

On-site computer maintenance

Remote computer maintenance

Software installation

Internal equipment cleaning

Peripheral configuration

Operating system installation

What is the brand of your computer?

What operating system is currently installed on your computer?

What is the model of your computer?

What issues are you experiencing with your computer?

Preferred contact method

What is your preferred time for service?

Do you require assistance with peripherals?

What type of peripherals do you need assistance with?

Please select at least one option.

Printers

Scanners

Keyboards

Mice

Monitors

How did you hear about us?

Please select at least one option.

Social Media

Referral

Search Engine

Local Advertisement

Which service or services are you interested in?

Please select at least one option.

Manutenção de computadores no local

<strong>Assistência remota de computador</strong>

<strong>Configuração e instalação de periféricos</strong>

Additional questions or comments

Inova Soluções em TI