Home Computer Repair Request Form

Home Computer Repair Request

You can use this form to request a Home Tech call out for any type of computer repair as long as it is IT based.

We will call you and confirm your scheduled appointment date and time.

Alternatively you can call our support team on.

0151 230 1283


		Request A Home Tech Repair Visit
APPOINTMENT TIME
Date of apointment  *
Time of apointment  *HHMMAM/PM
YOUR DETAILS
Select  *
Your First Name  *
You Christian Name  *
YOUR ADDRESS DETAILS
First Line of Address  *
Second Line of Address 
District  *
City  *
Postcode  *
YOUR CONTACT DETAILS
Your Contact Telephone No:  *
Your Email Address  *
YOUR EQUIPMENT DETAILS
Select  *
Manufacturers Name  *
Model 
Operating System  *
Please enter a brief description 0f your problem 
 
Verification
Please enter any two digits with no spaces (Example: 12) *
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