EmailMe Form - Let's Get Your Computer Working Again

Account Information

First up, what is your name? *

First Last

What's the best phone number for you? *

### - ### - ####

In case we can't reach you at that number, what's another number we can reach you at? *

### - ### - ####

Now, what's your email? We'll send you an order confirmation. *

Problem Diagnosis

Please tell us more about the problems you're experiencing with your computer. *

Please Enter Your Computer's Serial Number *

This information is used for security and identification purposes.

Great, our team of experts will take a look. What is your computer's username and password? *

This information is required for our technicians to perform maintenance. If your computer does not have a username or password, please write none.

We can definitely take a look at your computer. However, we want to make sure the problem doesn't happen again.

Let's secure your computer and protect your data. The average cost of a data breach was $150 million dollars last year (Juniper Research, 2020). *

Installation fees for all software is $14.95.

Legal Information

Terms & Conditions

I have read and agree to the Terms & Conditions

Click here to read the Terms & Conditions.

Information Verification *

I swear, under penalty of perjury, that all the above information is correct and accurate

By checking this box, I acknowledge that the information provided in this application is factual and true.