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PH: (772) 224-1143

  FAX: (772) 785-5224

reyescomputers@hotmail.com
  Computer repair
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  Virus/Antispyware removal
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Upon the receipt of this form we will schedule an appointment with a technician on the day and time requested.  At the soonest possible time we will then reconfirm the appointment.

Name : (Required)
E-mail : (Required)
Phone :   (Required)
Cell/Other Phone :
Address:
City :
State :
Status : Prior Client   -  New client


Type of Service Required:
PC Repair 
Mac Repair
Networking
Notebook Repair
Other: 
I would like:
I would like an Appointment:
What time is best for you:

Description of problem/comments:


Thank you.  We will contact you ASAP.
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