Customer Intake Form

At Magnify247.com we understand that adequate help is not always available from your Internet Service Provider, software vendor, retail store, or computer manufacturer. NEVER FEAR! Magnify247.com offers; In-Shop, and ‘Secure Remote‘ services. We will provide more details after we receive your form submission below. Please complete this form as best you can – then submit. * Red asterisk implies required fields.

* Name (required)

First

Last

Business Name

* Address (required)

Street Address

Address Line 2

City

State

ZIP Code

* Email (required)

You will receive automatic notifications from our ticketing system. We will never Spam you or sell your email or contact information. All communications from us will be from @Magnify247.com - thank you for your trust and considerations.

* Primary Phone # (required)

Alt. Phone (optional but helpful)

* Ticket Title - Short Description (required)

Please provide a very short description of your inquiry or need. example: "laptop won't boot" or "backup not working"

* Complete Issue Description (required)

Please provide details - accurate but brief - this helps us pre-determine best plan of action in advance of contacting you or any remote service. Thank you.

By submitting this Request/Ticket, you are confirming you need assistance and that you agree to the terms and conditions of our Terms & Waiver (Service Agreement) - which you can review at: http://magnify247.com/service-waiver/

* Field Label

Customer Intake Form

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