Service Form

Please field up this form, Thank you!
*1. Name (First, Last Name)
*2. Telephone / Cell
3. Windows Login Name and Password
4. Operation System
5. Manufacturer, Model
6. What type of Machine
Desktop
Laptop
Tablet
Cellphone
7. AC Adapter
最多选择 1 项
Yes
No
8. Hardware problem 1
9. Hardware problem 2
10. Software problem 1
11. Software problem 2
12. Note
*13. Date
请选择
14. Time

15. We (Computer Surplus) are NOT responsible for clients hard drive data or information loss.