PC Power Supply Diagnosis Form

  1. Please Complete this form as best as Possible, then Click the Request Evaluation Button at the Bottom. You will see a confirmation page when you are done.
  2. If you wish to offer the non-working Item (s) for sale, check the "sell" button near "Services Needed"  the end of the form. Include asking price in comments area.
  3. You will receive a response within 24 Hours. Thanks for your request.

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Your E-mail IMPORTANT!
*REQUIRED*
Your Name Or Business Name /Both
Country
Referred By? Web Search    Auction   Newsgroup   Friend    Business   



Brand of PC Used in ?
Series Name/ Model of Computer If Applicable: (IE: Prolina, Pavillion etc)
Model Number of Power Supply, If Applicable:
Wattage?
Form Factor?
Quantity?
Type Of Failure?
Type Of Service Needed? Repair    Estimate    Overhaul   Bench Test    Not Sure  Sell 
   
  Additional Comments, information, Etc:
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