APPOINTMENT REQUEST FORM


So we might better serve you, please answer the following questions. We will contact you regarding scheduling a mutually convenient time for your appointment.


Company Name:

Industry:

Contact Name:

Address:


City:
State:
Zip:

Phone:
Fax:

E-mail Address:

Number of Locations:

Number of Desktop PC's:

Number of Laptop's:

Type of Network: Wired: Wireless:

Type of connectivity:

Antivirus S/W used:

Firewall used:

Current backup strategy:

Any recent computer changes:

Any recent network changes:

Any current computer problems:

Any current network problems:

  
Certified Computer Pros, Inc.
941 Maddox Drive, Suite 238
Ellijay, GA 30540
Phone: 706.635.7018 Toll Free: 866.206.0496
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