Service Form

Please field up this form, Thank you!
* Name (First, Last Name)
* Telephone / Cell
Windows Login Name and Password
Operation System
Manufacturer, Model
What type of Machine
Desktop
Laptop
Tablet
Cellphone
AC Adapter
最多选择 1 项
Yes
No
Hardware problem 1
Hardware problem 2
Software problem 1
Software problem 2
Note
* Date
请选择
Time

We (Computer Surplus) are NOT responsible for clients hard drive data or information loss.