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Computer Repair Work Order Form
Name *
First Name Last Name
Phone Number *
Area Code Phone Number
Date *
Month Day Year
Computer Model *
Serial # *
Please Select the Repairs *
Touchpad Mouse
Keyboard LCD
Fan Hard Drive
System Board Unit was reloaded
Optical drive Heat sink
AC Adapter CPU
Hinge RAM memory
CD-ROM Removable drive
Printer Network card
Application problem Virus
No power Won't boot (hardware)
Won't boot (software)
Brief description of the problem *
1
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2
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