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Remote Network Support Inquiry Form
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Name
*
First
Last
Support Method Budget
Company Name
*
Service Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Email
*
Phone
*
Preferred Contact Method
*
Email
Phone Call
Text Message
Network Environment Type
*
Office Network
Home Office
Data Center
Cloud-based Network
Other (please specify
Other Type
Describe Your Issues or Project
*
Type of Support Needed
*
Ongoing Remote Monitoring
Network Security Configuration
VPN Setup
Router / Switch Configuration
Cloud Network Support
WiFi Optimization
Other (please specify)
Other / Describe support needed
Preferred Support Hours
*
Business Hours (9 AM - 5 PM, Mon-Fri)
After Hours (5 PM - 9 PM)
24/7 Availability Needed
How soon do you need support?
Immediately
Within 24 hours
Within 1 Week
Flexible
Budget Range
Additional Notes or Requirements
Consent Checkbox
*
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