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1. Full Name: *
2. Phone:  
3. E-Mail: *
4. Address:  
5. City, Zip, State:  
6. Description Of Problem: *
   The power connecter where I connect the ac adapter is broken ( or lose ) The Laptop dose not receive power I get no image on the screen when I turn it on The laptop makes a beeb sound when I turn it on The laptop keep restarting by it self The laptop does not go to the windows I have virus ( or spyware ) Other ( Please describe )
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8. Laptop Make: *
   Choose Model: Apple Averatec Compaq Dell Fujitsu Gateway hp IBM Sony Toshiba Other
   
9. Laptop Model Number:  
10. Security Code: *
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