MAC Service Request / Inquiry Form

Name : (required)
E-mail :
Phone :
City :
MAC Model
My MAC Operating System

Please describe your situation:

Computer has no power or will not start up.
Computer has no video.
Computer has no sound.
Flashing question mark at startup.
Crashing or freezing.
If so, when? (random? on startup? when using certain applications?)
Will not maintain correct date & time.
External device(s) (printers, hard drives, etc.) not recognized, or ports not working. If so, please include the device(s) with your shipment.
Internal device(s) (CD, Zip, floppy) not working, or will not show up on the desktop.
Other Problems (Please describe)
I would like:
I would like to be contacted:
Please contact me by:

Thank you.  We will contact you ASAP.