Repair Service Request
 
 
 
 


 Network / Internet Checkup
Flat Rate Work Order

First Name  
Last Name  
Address  
City  
State  
Zip  
Home Phone  
Work Phone  
     
Pickup Date Desired or ASAP
1 Business Day Notice Required.		  
Pickup Time Desired  
     
Billing eMail Address  
     
Network Checkup Service Please make sure you have the following ready for pickup:

~ You have backed up all important data!!!
~ You have your operating system disks & install key.
~ You have any driver disks that came with the computer.		  
Repair / Replace Network Card  
Setup / Test Internet  
Setup / Test eMail  
Free Anti-Virus Install  
Free Anti-Spyware Install  
   
$75.00 Including Pickup & Delivery  
I understand that by submitting below, a technician will be dispatched to the site address I have specified above to pickup my computer. I understand Broadlink's flat repair rate and agree to pay charges upon completion of the work. I also understand there is a minimum diagnostics fee 0f $35.00. BROADLINK IS NOT RESPONSIBLE FOR LOST DATA.