Customer Form - Cosmic Computers

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Customer Form

Name

Email

Phone Number

Computer Make & Model

Computer Password

Dropped off charger?

Yes

Dropped off laptop bag

Yes

Dropped off Mouse or Keyboard

Mouse Keyboard

Other:

Contact Cosmic Computers

✆ 07979 613093

✆ 01225 805250

✉ Cosmic Computers

Cosmic Computers

You are more than welcome to drop your laptop/computer off (by appointment only), you can find us at:

Cosmic Computers
14A Down Lane
Bathampton
Bath
BA2 6UE

Copyright 2012 – 2019 Cosmic Computers – Website Development and Computer Repair in Bath and Bristol. | All Rights Reserved | Designed by Mark Hull Web Developer