Service Request Form
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CYBERCity
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PCMarketGroup, Inc.
455 Court Street
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Binghamton, NY 13904
607.729.2990 voice
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607.729.3655 fax
Service Request
To start a support ticket with CYBERCity fill in the service request form below and click Send.
Client Information
Company
Your Name
Phone Number
Please include your area code and extension.
E-Mail Address
A valid email is required. If you do not have one please dial (607)729-2990.
Service Agreement
Yes
No
If you have a Service Agreement with CYBERCity/PCMarketGroup please select Yes.
Location
Please enter the location of item needing service above.
Problem Information
Computer Operating System
Windows 2003
Windows XP
Windows 2000
Windows 9x
Mac
Other
Scope Of Problem
Printer
Single Computer
Multiple Computers
Network
Website
Email
Other
Level Of Urgency
Low (FYI)
Medium (Within 5 Business Days)
High (Today Preferable)
Urgent (Immediate Attention Needed - Please Call)
Problem Description
Please describe the problem above.
Additional Information
Please add any additional information above that may help us with a solution. (History of the problem, changes, additions of hardware or software, etc.)
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