Contact Request

This is not a form for previously agreed upon repairs/services. This is the initial contact form which we will reach out to you afterwards for further discussion. Before prices or possible solutions can be discussed, this form must be completed.

If you would like to call instead or this is urgent, please dial: 270-297-3399

Consulatation is always free.

 
 
Name *
Name
Please enter the name of the device user. If multiple users exist, please list the administrator.
Please enter a valid phone number for communication purposes. Your data will be used for internal purposes only.
All data taken above is subject to our privacy policy. Your information is sensitive and will not be shared with anyone unless prior notice and approval (this is relative to third-party services).
Please specify the product affected or needed to be serviced upon. If more than one please select "Other" and enter the devices in the box below.
When did this incident occur?
When did this incident occur?
This merely to the best of your knowledge. If not sure, please skip or add a relative time frame in the "Additional Comments" block below.
Please be informal in this process. To better understand what might be wrong, we need relatively specific issues, and what happened, if known, to cause this issue. (Ex: "Won't power on when pressing the button after dropping," "Screen has been cracked but no other damage due to a fall," "TV is no longer outputting audio due to water spillage.")
Type(s) of Damage
Please select only if applicable.
Please state anything related to what has been entered above that you might feel would help out.