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Computer Repair - Fix My Computer Today

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					                                  Computer Repair
                                         Service Form
         Telephone- 510-409-8389          Email- FixMyComputerToday@Gmail.Com

   Contact Information

    Name      ___________________________________________________________
    Address ___________________________________________________________
    City      ________________State ________________ Zip ________________
    Home Phone ________________________________________________________
    Cell Phone __________________________________________________________
    Email     ___________________________________________________________

  Computer Information

    Your User Name _____________________________________________________
    Your Password _____________________________________________________
    BIOS Password _____________________________________________________
    Does the computer boot? Yes ___ No ___
    Is all data backed up ?  Yes ___ No ___

                             Service Requested
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
________________________________________________ Labor Estimate ____________

                              Labor Performed
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

I authorize Bill Barr to perform the Service Requested. Bill Barr is not liable for data lost or damaged
on any storage device, even if specifically instructed not to erase or manipulate the data. Important
data should be backed up before the machine is serviced. Furthermore, Bill Barr is not liable for any
hardware failure such as hard drives, disk drives, power supply or motherboard.


SIGNATURE ____________________________________________ DATE _________________________

				
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posted:11/30/2011
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