| Company name: |
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| Contact person: |
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| Tel number (office): |
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| Cell phone number: |
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| E-mail address: |
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Please
indicate urgency level for on-site support
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Response within 1 hour
Response within 4 hours
Response within same day
Response within next business day |
Please define nature of fault or support service required
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Please provide us with your physical address
(for on-site call outs)
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Please
accept terms and conditions
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I
hereby agree to your fee structure and have made myself fully aware of
your terms and conditions of payment and service delivery
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