Service Request

Help Us to Help You

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Remote Service

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Onsite Service

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Drop-Off Service

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Sample Check

Online Check Instructions

Please enter your bank name and address

Enter your bank routing number, this number is 9 characters long and appears between the :| symbols usually at the bottom left corner of your check

Enter your checking account number, this number is 5-17 characters long and appears next to the ___ symbol at the bottom of your check and usually to the right of your routing number

Enter the Check Number that will be used for payment

Service Request Information

For faster service please fill this form out completely

Type of Service:
Today's Date: *
First Name: *
Last Name: *
Company Name:
Address Street 1: *
Address Street 2:
City: *
State: *
Zip Code: *	(5 digits)
Primary Phone: *
Alternate Phone:
Email:
	Equipment Information
Equipment Type:
Date of Purchase:
Warranty Status:
Manufacturer:
Manufacture Date:
Model Number:
Product ID(LG Only):
Serial or Service Tag Number:
Operating System (Computers and PDA's Only):
Is Product Mounted?:
Problem Details
	Payment Options (If Applicable)

Payment Option 1	Online Check
Name as it Appears on the Check:
Address as it Appears on the Check:
Bank Name:
Bank Address:
Bank Routing Number:
Checking Account Number:
Check Number:
Payment Option 2:
Credit or Debit Card Number:
Expiration Date:
CSV Number:

Remote Service	Warranty Service	Shop Online
Onsite Service	Drop-Off Service	Refurbished Electronics