Registering allows you to enter service requests for on-site computer support. You may return to view service call status, appointment schedule and view reports completed by the technician while on site. You may also open multiple service requests without having to re-enter this information. As stated in our Privacy Policy this information is private and not released to any third parties.

To REGISTER fill in the information below ( * is required).

First Name * First Name 50 characters max First Name Required Last Name * Last Name 80 characters max Last Name Required

Name and Type of Business Company Name 80 characters max

Your Street Address * Address 80 characters max Street Address Required City * City 40 characters max City Required

State * State Required ***USA*** 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 Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ***Canada*** Alberta British Columbia Manitoba New Brunswick Newfoundlandand Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Zip Code * 6 characters max Zip Code Required

Telephone Number * Telephone Required Telephone: 10 digits required (only numbers please) Ext. Extension: 1-5 digits allowed
Cell Phone Number Cell Phone: 10 digits required (only numbers please)

How did you hear about ComputerAssistant.com? * How Heard Required Select... AllTheWeb Alta Vista AOL Search Ask Jeeves Business Associate Business Card Co-worker Craig's List Craigs List Email Excite Family Member Friend Google HotBot Inktomi iWon LookSmart Lycos MSN Search Netscape Search New Business Advisor Newspaper NorthernLight OpenDirectory Other Yahoo Yellow Pages YellowPages.com  Other

Enter Your Request and Availability We use this information to find qualified technicians in your area with skills to match your job requirements and when you need it done.

Email Address: *	You must enter a valid email address Email Address Required
Password: *	Password Required
Please confirm your password: *	Your Password and Confirmation Must Match

I accept that the use of this website and its services is governed by the ComputerAssistant.com Terms and Conditions and Privacy Policy. We suggest that you return frequently to review these items as they may change without notice.

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Press SUBMIT and your information will be stored then directed to the Open New Service Call page.