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Click here to access the Acadiana Tech Help Tool. Please use this tool only when asked by a technician.
Service Request
Customer Name
First Name:
Last Name:
Business Name:
(If Applicable)
Customer Infomation
Street Address:
City:
State:
Zip Code:
Phone 1:
Phone 2:
Email:
Computer Information
Manufacturer:
Model:
Serial:
Problems:
Service Appointment Information
Please complete this section if you choose to request a date and time for a technician to come. Please keep in mind this is just a suggestion. A technician will contact you to set the acutal appointment. If you do not have a preference, and wish to be serviced during the next opening, please skip this section.
If this is an emergency, please check 'Emergency' below.
Emergency
May be charged emergency rates.
First Date:
9 AM - 11 AM
11 AM - 1 PM
1 PM - 3 PM
3 PM - 5 PM
Second Date:
9 AM - 11 AM
11 AM - 1 PM
1 PM - 3 PM
3 PM - 5 PM
Enter Code:
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