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GoodPC Repair
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Intake form
Help us serve you better
Name
*
Email address
*
How did you hear about us?
Select
Google Search
Social Media
Referral
Advertisement
What type of service do you require?
Please select at least one option.
General IT Services
Setup a Maintenance Plan
Request Emergency IT Repairs
Inquire about Network Setup
Inquire about Custom Cabling
Inquire about Automation Services
What is your business type?
Select
Sole Proprietorship
Partnership
Corporation
Non-Profit
N/a
What is your preferred contact method?
Please select at least one option.
Phone
Email
In-Person
Video Call
What is your business's primary industry?
Select
Retail
Healthcare
Finance
Education
Technology
What is your location?
What is your availability for a follow-up?
Select
Morning
Afternoon
Evening
Weekends
Which service or services are you interested in?
Please select at least one option.
IT Support
Networking
Custom cabling
Additional questions or comments
Submit
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