Customer Name *

First Name

Last Name

Customer Phone *

(###)

###

####

What is customer using PC for? *

Check all that may apply.

Primarily Work / Business Use

Home Use - Emails, Social Media, etc.

School / University

Gaming - Light Gaming (younger child)

Gaming - Average Gamer

Gaming - High Level Intensive Gaming

What version of OS is the customer currently on? *

Windows 11 Pro

Windows 11 Home

Windows 10 Pro

Windows 10 Home

Windows 7

Which of the following does the customer need? *

Wireless Capability

2+ Monitors

Bluetooth Capablity

CD / DVD Drive

SD Card Reader

What type of backup does the customer have? *

External Backup Drive

Cloud Based Backup

None