Submit Service Requests


Your Name:
Company:
Please enter at least one phone number.
Home Phone Number:
Mobile Phone Number:
Work Phone Number:
Email Address:
Street Address/PO BOX:
Apt/Suite Number:
City:
State:
ZIP:
Service Requested/Problem:
Device Brand:	ie. Dell, Apple, HP, etc
Device Type:	ie. Laptop, PC, Tablet, etc
Computer/Device ID Number	If you have previously had your computer/device serviced with us, it may have a tag with an ID number on it. Please enter it here if you have one.
Preferred Store/Location:	No Preference, Genius Computer Repair & Service - Cape Coral, Genius Computer Repair & Service - Cell phone
How did you hear about us?	Please Select an Option, Best Of The Cape Website, Better Coupon Book CCN, Better Coupon Book CCS, Better Coupon Book FMSE, Better Coupon Book FMSW, Business Networking, Email or Mailed Newsletter, Existing Customer, Google, Kia Soul, Nextstore app, Phone Book, Social Network Referral, Store Drive By, Take One paper, The Daily Breeze, Website, Word of Mouth Referral, Yelp