Onsite Service Call

To request an Onsite Service Call please fill out the form below. Once submitted, you will receive a confirmation page. Please print a copy of the confirmation page. If you have any problems or concerns please email us at info@qht.com or contact us online.

Type of Service

Printer Repair
Computer Repair
On-Site Pickup (Qualified Customers Only)

Contact Information

Contact Name  
Company Name  
Street Address  
City   State  
Zip Code   Phone  
Fax   E-mail  

Equipment Information

MFG / Make  
Model Number  
Model Desc  
Serial Number  

Service Requested / Problem Desc

Your Reference Number (optional)

Department / Customer Billing Code (optional)

Onsite Service Call
An easy way to request onsite service by a certified technician.
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