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Technology Services Request 
When completing the form below, please be as specific as possible.
However, if you are not sure about any of this information, just put as much as you know.
The more information you give us, the more quickly we can solve your problem.

All fields with asterisks (*) are REQUIRED.
Request For Services Form:
* First Name:       * Last Name:   
* Street Address:      
* City:             * State: * Zip:    
* Email: * Home Phone: * Cell Phone:

Computer Info:   Other PC (if "Other" was selected previously): 
  Type of client: Single-User Residential   Multi-User Residential Small Business        
Problem Information:

* Please describe the problem you are having:

* Attention:  

* Security Question: What does 3+4 equal?     

** If you are having problems with this form, you can also reach us via email at Support@DKNC-Consulting.com
Please be detailed with your email inquiry and include your name, company, home phone number, and work and/or cell phone numbers.