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Hughes Computer Services
Service Call Request Form


 

Enter Your Contact Information:

Name:   Required

Address:   Required

City:   Required

State:   Required

Zip Code:   Required

E-Mail Address:   Required

* The E-mail address you enter will be used as your Login to Update or Check Status of your Service Call Request.

Phone:   Required

Alt Phone:   Optional

 

Device Information:

Currently Covered by Mfg Warranty:   Required

Do you have a Reference Number or
Service Request Number:
  Required

Type of Device:   Required

Size of Device:   Required

Manufacturer:   Required

Model Number:   Required

Serial Number:   Required

 

Description of Problem.

 

Requested Time-Frame.

We will try to schedule a time best suited to your schedule.

 

Click the Button Below to Submit Form Data. Click Only Once.

 

     

 

 

Hughes Computer Services Decatur Il Illinois