Maypearl Intermediate
Technology Service Request
**To be used for computer equipment repairs only**
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Tech Dept. ______________________________________
Warranty service time______________________________
Non warranty equipment____________________________
Parts needed_____________________________________
_______________________________________________
Return check up date_______________________________
you must have at least one item
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Date:
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Your Name:
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Your email address:
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Room Number:
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Exact location of equipment:
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Priority:
1)Low
2)Moderate
3)High
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In the space provided, please describe any problems you are experiencing:
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Indicates Response Required
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