A DIVISION OF PHANEL INTERNET & BUSINESS SERVICES
1-(888)-729-7804 (TOLL FREE)
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1-(888)-729-7804 (TOLL FREE)

 

 


ONLINE SERVICE REQUEST FORM

Please fill this out to the best of your ability and knowledge. Tell us as much as you can about the problem. This will allow us to troubleshoot the problems better.

Notes: Please take care when entering your e-mail address. Fields marked with * are required. Please also note that if you do not include your payment method, you will be asked for it prior to your technical matter being addressed. We only offer prepaid service. Only order service if you are absolutely certain that you need the service. Once we submit the work order to our technician, there is a $50 cancellation 

 

About You

Please tell us about you and your company
Name*
Company Name
Full Address 
(Where service will be provided)
Phone*
Fax
E-Mail*
E-mail # 2 (If applicable)
Instant Message
Online Phone / Talk
Notes: This information will never be sold or abused. Please take care when entering your e-mail address and phone number as it is our only way of contacting you.

 

About Your Computer

Please tell us about your computer system
Operating System*
CPU*
Speed megahertz
Make/Model
Total System RAM* mb
Video Card
Video RAM mb
Free Disk Space mb
Hard Drive Type

 

About the Problem

In a few sentences please tell us the nature of your problem. Please provide as much detail as possible. Try to reproduce any problems, and tell us exactly what you did so that we can reproduce it for testing purposes.
Type of Support*
Product*
Severity*
Steps to reproduce or detailed description of the problem*

Enter any additional comment Here:

Tell us how will you be paying for this service?
Please have your account information ready before we call.

Account Type*
Check this box if emergency service required.