TECHNOGEEK JOB BOOKING FORM

Query and Job Booking Form

Type of Request *

Preferred Charges *

Name *

First

Last

Address

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Email *

Phone Number *

What is the issue? *

What would you like done?

Type of Service *

Express $75 extra charge

Same Day (cutoff 12pm)

Appointment made on contact

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Important !!

If we turn up and you are not there we WILL charge you for all time from leaving base to getting back to base at $99 per hour or part thereof - NO EXCEPTIONS