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Houston, Texas 77036 USA
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Walk-In Computer Service Request Form
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Company Name
Name
*
First
Middle
Last
Phone
*
Email
WeChat
Preferred Contact (Email, Phone, WeChat)
Brand
Model
Type
Notebook
Desktop
Tablet
2-in-1
Operating System
Windows
ChromeOS
Android
MacOS/IOS
DualOS
System Language
English
Traditional Chinese
Simplified Chinese
Able to get Into system?
yes
no
Damage
Water Damage
Power Failure
Physical Damage
Purchased from (USA, China, etc)
Are you the owner?
yes
no
Have Username and Password? (Give info when walk-in)
yes
no
Install Windows?
yes
no
Software to Install
Windows 10
Windows 8
Windows 7
Repair?
yes
no
What to Repair?
Windows 11
Windows 10
Windows 8
Upgrade?
yes
no
What to Upgrade?
from Windows 8
from Windows 7
File Backup?
yes
no
Change System Language?
yes
no
Remove Virus?
yes
no
Remove Password?
yes
no
Error Screen?
Blue Screen
Black Screen
File Recovery
From Computer Hard Drive (Need Open Case)
From External Hard Drive
Replace Hard Drive
I Bought Hard Drive
No, I did not bring (Add Estimate Fee for Most Models. If cost more, please pay difference when pickup)
Hard Drive Size
500 GB
1 TB
2 TB
3 TB
State problems or work needed to be done, if you didn't see service item above.
Any new software/hardware needs for installation/replacement?
Additional Information
Agreement
*
I Agree: I acknowledge all the information I provided above is correct. I authorize GCI to work on my PC & agree to Terms of Service.
Type Full Name to Acknoledge
*
Date Field (date)
*
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