Purl Advantage Service Request Form
This for is for service requests as well as general inquiries about our services.
Our technicians will contact you to answer your question or configure your computer(s) for the Purl Advantage.
Name:
Phone Number:
Email Address:
Prefer a response by Phone or email?
Phone
Email
either
Service Requested
Online Data Backup
Computer Service
Service + Backup
Number of PC's
1
2
3
4
5
6
7
8
9
10+
PC's Reg. Info
(on the machine to be serviced)
click here for help
If There are More than 4 Computers, stop at PC#4
PC#1
PC#2
PC#3
PC#4
Internet type
DSL
Cable
Dial-up
Satellite
Other
Call Back Request Date and Time:
What Can Purl Computers Help you with Today?
