Need On-Site Service Call ? Please Fill in the Blanks and Submit

* Required	The Fax Engineer On-Site Service Call Form ( in your Office )
*  Name:
Job Title:
Company:
*  Address:
Postal code:
*  Telephone # :
Fax # :
*  Email:
Cell Phone # :
*   Make and Model
*The problem      ( e.g. jamming or No Power ) and Comments
.What date do you need On-Site Service Call?	select... Today Tomorrow Within this week Next Week
.	The Fax Engineer Service Call Rates:                                     Plain paper Fax Machine $ 75.00  Laser Fax Machine / Laser Printer $ 95.00             Copier Machine $ 95.00 Computer per hour: $75.00 Networking per hour: $100.00 LCD / Plasma TV $95.00 Installation High Definition TV (Plasma, LCD, DLP, RPTV)  Or Wall Mounted TV $100.00   Installation Set-up Digital Cable Box and Satellite Receiver $100.00
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