Black Nerd Power – Service Request

Please copy and paste the form below in an e-mail and send it to quefresh@yahoo.com and someone will contact you as soon as possible. If you can not send an e-mail call 910-436-0013. If a service technician is available they will answer.

Full Name:

Location [where are you in the United States]:

Phone Number:

Operating system [if known]:

Problem or Question [please list in as much detail as possible]:

[this area is for service technicians]______________________________________________________________

Hrs spent resolving issue:_______

Dollar amount equivalent: (Hrs spent on Issue)_______ x (Hourly fee for services)_______ =$ _______

Actions taken:

Was issue resolved?: Yes_______    No_______

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