gh SERVICES, LLC

A company devoted to our customers and their computer, networking, and software needs!

Work Order

Please Fill Out The Follow Information...

You must be located within a 100 mile radius of Wichita, KS - review one-way travel fees if one-way is over 25 miles - CLICK HERE 

Your information:

(remains confidential)
Today's Date:       example: 12/26/2006     Is this an Emergency?           Yes / No
Contact Name    * REQUIRED
Company Name:
Street Address:   * REQUIRED
City      * REQUIRED
E-mail Address:   * REQUIRED
Phone # Fax # 

 

Contact Preference Contact Preference: Email / Fax / Phone    Preferred Time if wanting to be contacted by Phone

Service Call Visit Preference 

(for scheduling purposes)

First Choice  

Second Choice 

 

Problem Description
Please make the above Problem Description as detailed as you can for correct resolution. You will be contacted for further information, if required.  You will also be contacted for an exact Service Call date.

 

Possible Warranty Request - Please fill out the RMA Request form instead of this form

*


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