EmailMeForm
CHS - Client's - Request for service form.
Computer Hut & Mindach & Assoc.
Indianapolis IN
(317) 636-6220
2021 -2022
I.T Services Needed.
Audit I.T Contractors
Consultant I.T. (Several Issues)
SEO & or Website Repair
I.T Service (Other)
When is service needed?
*
MM
/
DD
/
YYYY
Is remote service possible?
*
Yes
No
Your Company's Website
Upload Your I.T. needs in cover please
Word or PDF Documents <10mb Only please.
Contact Information
Name
*
First
Last
Work Phone
*
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Email
*
Mobile Phone
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