First Name

Last Name

Business Name or Organization Name (not required)

Email Address

Phone Number

How did you hear about us? How did you hear about us?Google SearchOther Search EngineSocial MediaCraigslistWord of MouthVisited Our LocationPrinted AdvertisementOther

Please explain how you heard about us.

Who Referred Us? If you do not mind sharing (not required).

How urgent is this project? How urgent is this project?Very Low (completed in a month or more)Low (completed in a two to three weeks)Medium (completed in about a week)High (completed in a few days)Very High (completed ASAP)

If your project needs done ASAP, we recommend calling us immediately at (717) 582-6567 for assistance. It sounds like you need emergency service. Please visit our Emergency Service page with the link at the top of your screen for more info. You may complete this form if you wish. If your project needs done ASAP, we recommend calling us immediately at (717) 582-6567 for assistance. It sounds like you need emergency service. Please visit our Emergency Service page with the link at the top of your screen for more info. You may complete this form if you wish.

Over 90% of the work we perform is onsite locally to Pennsylvania and surrounding areas. For this reason, we generally estimate out work to be performed at your location. Some services are obviously at your location like networking setup, but device repair has the option to go either way. Although we do prefer to repair your device at your location so we can evaluate the surroundings and environment. What is your preference of support? Over 90% of the work we perform is onsite locally to Pennsylvania and surrounding areas. For this reason, we generally estimate out work to be performed at your location. Some services are obviously at your location like networking setup, but device repair has the option to go either way. Although we do prefer to repair your device at your location so we can evaluate the surroundings and environment. What is your preference of support? Onsite support at my location Take my device to Triple E Technology I am interested in remote support

Street Address

Address Line 2, Apt #, Suite #, etc (not required)

City

State

Zip Code

What device or project category are you interested in getting an estimate for? You may choose multiple. What device or project category are you interested in getting an estimate for? You may choose multiple. Computer Diagnostics, Repair, Upgrades Computer Sales Wired & Wireless Networking Surveillance Systems System & Service Consulting Long-Range Wireless Bridge Systems Smartphone & Tablet Repair Parts & Equipment Sourcing Remote Support 24/7 Emergency Service Other

What is your computer make?

What is your computer model?

What is your computer's serial number?

What services need performed to your computer and/or what are your symptoms?

What are you looking for in a replacement computer? New or Refurbished? Brand if any? Laptop, desktop or All-in-One? Screen Size? Hard Drive Size? RAM Size? Processor? Other Accessories?

What Wired or Wireless networking services do you need? What services need performed and/or what are your symptoms?

Do you need a new surveillance system or your current one serviced? Do you need a new surveillance system or your current one serviced?New one installedCurrent one serviced

What are your requested surveillance system details? How many cameras are you thinking about? Please describe what building(s) the cameras will be installed in with general locations. Will all the cameras be installed in the same building?

What are your current surveillance system details? What is the make and model of server if you have one? How many cameras do you have? What needs repaired or added to your current system? Please be detailed.

What are your goals? What do you have in mind? Please be detailed.

What are your goals with a Long-Range Wireless Bridge System? How many buildings need connected together? Is there a line of site between each building? What is the distance between each building? Please be detailed.

What is your smartphone/tablet make?

What is your smartphone/tablet model?

What is your smartphone/tablet's serial number?

What services need performed to your smartphone/tablet and/or what are your symptoms?

What parts, accessories, equipment or hardware are you looking for? What are your goals? Please be detailed.

What remote service are you interested in? What device can we help with? Make, model, operating system? What are your gaols?

If your project needs done ASAP, we recommend calling us immediately at (717) 582-6567 for assistance. It sounds like you need emergency service. Please visit our Emergency Service page with the link at the top of your screen for more info. You may complete this form if you wish. If your project needs done ASAP, we recommend calling us immediately at (717) 582-6567 for assistance. It sounds like you need emergency service. Please visit our Emergency Service page with the link at the top of your screen for more info. You may complete this form if you wish.

What emergency service do you need assistance with? What are your goals? Please be detailed.

What are your goals? What do you need help with? Please be detailed.

Any other helpful information? (not required)

Preferred Contact Method: Preferred Contact Method: Email Phone Call Text Message No Preference