Create Job Request
Please fill out the form below.
*
indicates required fields.
Company Name
*
Contact Person
*
Contact No.
*
Address
*
Email Address
*
Machine Brand
*
LENOVO
IBM
TOSHIBA
SAMSUNG
ACER
DELL
EPSON
BROTHER
HP
CLONE/Peripherals
Machine Model
*
Serial Number#
*
WC (Warranty Card No#
*
Sale's Email Address
Problems
*
Warranty Date
*
SUBMIT
RESET
