Call Intake

 
Date & Time of Intake:
 
 
Contact Information:
  • Full Name:


  • Billing Address:


  • Phone:


  • Cell:


  • Home or Office:


  • Heard About Us:


Scheduling:
  • Service Day & Date:

  • Arrival Window:

  • Calendar Updated:

  • Map Verified & Printed

  • Assigned To:
 
  
 
Pricing:
  • Prices Quoted:


  • Discounts Discussed...


 

  
Notes:
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Service Location:
  • Service Address (verified online):


  • Housing Development:


  • Cross Roads:


  • Driving Directions:



Service Detail:
  • Type of Internet Service:


  • AOL or MSN Client in Use:


  • Computer Make Model:


  • Operating System:


  • Bootup Problems:


  • Description of Problem:



Type of Service:
  • On-site... 
    (quote / schedule / verify map online)

  • On-line...
    (process CC - schedule/start session)

  • Pick-up...
    (technical / orig CDs / laptop power)

  • Carry-in...
    (non-tech or tech / orig CDs / laptop power)

  • Courier...
    (non-technical / orig CDs / laptop power)