Please provide the following information so we may best address your problem:

Organization:
First Name:
Last Name:
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Model # :	(if applicable)
Serial Number:	(if applicable)
Operating System:	Windows 98 Windows 2000 Windows XP Citrix MetaFrame OTHER (if applicable)
Description of the problem:
Preferred Service Tech.:	First Available Dave Smith Dave Dipple Dave Belville Mike Belville Adam Smith Cory Mettee

New Computer Team Customers:

Please fill out the following contact information for our records.

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