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PC Repair Request Form

Customer Contact Info

Full Name

*

Phone Number

*

Email Address

*

Device Overview

Device Type

*

A

Desktop PC

B

Laptop

C

Custom Gaming PC

D

Mac

Brand and Model

*

Operating System

*

A

Windows 11

B

Windows 10

C

macOS

D

Linux Distribution

E

Not Sure

System Specifications

Optional - Skip if you do not know

CPU / Processor

Graphics Card / GPU

RAM / Memory Amount

Storage Type and Size

Power Supply Unit / PSU Model

Issue Description

What symptoms is the computer showing? Please be as detailed as possible.

*

When did the problem start, or did anything specific happen right before it stopped working? (Skip if working)

Does the computer turn on?

*

A

Yes

B

No

C

It lights up but the screen stays black

Select the service that matches your case most

A

PC Cleaning

B

PC Component Upgrade

C

PC Component Downgrade

D

PC Component Replacement

E

Malware Cleanup

F

OS Replacement

G

Other

Important Terms & Diagnostic Consent

Terms and Conditions

*

I have read, understand, and agree to the policies available at mobilepcs.tech/legalrepair

We design custom 3D-printed upgrades to enhance the look of your PC build. Which of these would you be interested in adding to your setup? (Select all that apply)

*

A

GPU support bracket

B

cable management combs and wire routers

C

Miniature "PC-in-a-PC" internal case desk toy

D

I'm not interested in cosmetic/structural upgrades right now