Wufoo

Star Technologies Online Remote Service Form

Remote Computer Repair Request Form

Name * First Last
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Date * MM / DD / YYYY
Phone * ### - ### - ####
Email *
What Version of windows are you running? *
Windows Vista Windows XP Windows 2000 Windows 98 or older Don't Know?

Check only one box please
Computer Services *
Flat rate - PC Tune Up - $59.00

PC Tune Up is the only service right now for Remote Support.
If you need other services please fill out one of our general service forms or Contact Us
Are you over the age of 18? *
Yes No
Do Not Fill This Out
Do Not Fill This Out