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Computer Diagnostic & Troubleshooting Drop Off Form Mobile App

This is for a company that frequently does computer repairs for clients. It asks all the necessary questions to ensure that your company isn't forgetting anything. There are terms and conditions listed where you will just have to add your company name. There is a section for your clients username and password to ensure you have full accessibility to complete your job.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

Want to learn more about GoCanvas?

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Take a peek inside the Computer Diagnostic & Troubleshooting Drop Off Form Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Name: (Please Print)

  • Ico textbox

    Street Address:

  • Ico textbox

    City:

  • Ico dropdown

    State:

  • Ico textbox

    Zip Code:

  • Ico statictext

  • Ico textbox

    Home Phone:

  • Ico textbox

    Cell Phone:

  • Ico textbox

    E-mail Address:

  • Ico textbox

    Pick Up Person:

  • Ico statictext

    If no password is provided, it may need to be reset.

  • Ico textbox

    User Account 1:

  • Ico textbox

    Password:

  • Ico checkbox

    Administrator:

  • Ico textbox

    User Account 2:

  • Ico textbox

    Password:

  • Ico checkbox

    Administrator:

  • Ico statictext

    OFFICE USE ONLY

  • Ico textbox

    Brand:

  • Ico textbox

    Model:

  • Ico textbox

    Service Tag:

  • Ico textbox

    OS:

  • Ico textbox

    MS Office:

  • Ico textbox

    Special SW:

  • Ico dropdown

    Is your computer under warranty?

  • Ico textbox

    How long have you owned it?

  • Ico dropdown

    What accessories are you including with it?

  • Ico textbox

    What e-mail program do you use?

  • ...and More!

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