Service Ticket Service Ticket Step 1 of 3 33% Contact Information Day PhoneEvening PhoneCompany NameName First Last Email Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Product Details Product Needing Service?(iMac, Mac Pro, MacBook Air, etc)Product Extras(Case, System Disk, etc)Serial NumberPasswordDate of purchase Did you buy AppleCare?*NoYesApple Care NumberDescription of Problemas much detail as possible Service Request Details Service Request*Pick Up (trip charge applies)On-Site (trip charge and minimum one hour labor applies)Drop-off (estimation fee applies)OtherPlease Describe*I agree with the service terms.* Yes By Submitting I agree to pay a $40 Estimate charge if I do not repair the above equipment. I also understand warranty does not cover software repairs. I Authorize diagnostics that report to Apple. Equipment left over 90 days becomes the property of Mid-Missouri Computer Services. (We Repair up to $80 unless specified not to)