Walk-In Computer Services - Grace Computer Internet Corp.

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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

Dropoff

Power Cord
Bag
CD
USB

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 10
Windows 8
Windows 7

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

Windows Working?

Windows is Working (without open PC)
Windows Not Working (Need Open Case)

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) *

713-779-8444 Call Us Now

6918 Corporate Drive, Ste A16 Houston, TX 77036 USA

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