DISCOUNT COMPUTER SERVICE
Request for Service Form

Computer Repair Service Available Only To:
Home and Business Customers in Lehigh Acres, Fort Myers, or Lee County FL

( * = Required Information )
* Name : 
* Address : 
* City : 
* Phone : 
* Email : 

Directions To Your Location
Type of Service : 

Day Service is Requested :
Monday    Tuesday    Wednesday    Thursday    Friday   

I would Like Technician To Arrive Between : 

* Desciption of Problem or Service Requested

Please submit form and our technician will contact you during normal business hours


Proudly Serving Lehigh Acres, Fort Myers, and all Lee County, FL