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Ginosko Tech New Client Form
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Business Name
Your answer
Email
*
Your answer
Phone number
*
Your answer
Address
*
Your answer
Confirm your appointment day and time
MM
/
DD
/
YYYY
Time
:
AM
PM
Which tech services are you interested in?
*
Choose
Computer Support (Starting at $180)
Data Support (Starting at $180)
TV Support (Starting at $180)
Security Support (Starting at $180)
Printer Support (Starting at $270)
Network Support (Starting at $270)
Software Support (Starting at $360)
Server Support (Starting at $360)
Wiring Support (Starting at $360)
Preferred method of payment
*
Cash
Venmo
CashApp
Check
Zelle
Credit Card
How did you hear about us?
*
Referral
Thumbtack
Google
Angi/HomeAdvisor
Electronics Overhaul
Craigslist
Yelp
Email
Other:
Cancellations or reschedules must be done 24 hours before service. If not a fee of $90 will be owed.
*
I understand this policy.
Required
All payments are due immediately after service. Parts are not included in service call price.
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I understand this policy.
Required
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