MACPC NYC
DCA LIC # 2038997
ONLINE BOOKING
1
Customer Information
First Name *
Last Name *
Phone *
Email
How Did You Hear About Us?
2
Device Information
Device Type *
Model / Serial
Color
3
Issue Description
Type of Issue *
πŸ’§ Water Damage
πŸ“Ί Cracked Screen
πŸ”‹ Battery Issue
πŸ’Ύ Data Recovery
⚑ Not Charging
⌨️ Keyboard/Trackpad
🐒 Slow/Freezing
🦠 Virus/Malware
πŸ”‘ Password Issue
☣️ Bio Hazard
πŸ”§ Other
Describe the Problem *
Date & Time to Bring Device *
Date
Time