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Please fill out the form below with as much as you can, so that we may get to know you and your system better.  You only need to fill out this form once.  To request service again, either you can email us or you can come here and fill out your name, phone number and the service request box below.  You will be notified within 1 business day.

First Name:   

Last Name:   

Address:       
City:                 

State:              

Zip:                

Phone:          

Email:            

Computer System Make/Model:
RAM:     32mb        64mb        128mb        256mb        512mb        1024mb (1gb)

Other

Operating System:

Windows 95

Windows 98

Windows ME

Windows 2000

Windows XP

 

Internet Connection:

Dialup

Broadband

Service Provider:

Service request:

Please briefly describe what you would like in the space below:

 
Send e mail to webmaster@fergtek.com with questions or comments about this web site.
Copyright © 2008 Ferguson Technologies
Last modified: January 25, 2008