Technician Help Form US / Canada

Please fill out this form carefully.

Your Name (required)

Phone Number (required)

Select the problem you are facing (required)

Call Me TOMORROW at: (required)

Zip Code (Optional)

Alternate Email Address (Optional)

Any Other Information (Optional)

PLEASE CHECK BOTH BOXES BELOW, IF YOU UNDERSTAND AND AGREE TO THEM.
IF YOU DO NOT AGREE, THEN WE WILL NOT BE ABLE TO HELP YOU OUT.

I understand that there will be a service charge of $49.99 USD / $64.99 CAD which I would have to pay using my credit/debit card on paypal after the problem has been resolved.
I also understand that this charge would be for a one-time fix and is non-refundable.

I understand that this would take anywhere between 15 minutes to 1 hour and I will keep myself unoccupied during that time and also keep my computer ready and connected to the internet.