ComputerCare - New Business Customer Form

Your Information

Business Name*

Contact Name*

First Last

Email*

Phone*

Accounts Payable Contact Email*

Accounts Payable Contact Phone*

Shipping Address*

This is the physical location where our drivers will pick up units.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

What types/brands of computers does your company use?*

Please estimate the percentage or count of each system type:

I.e. 85% Apple / 15% Lenovo

How often do employees get new computers?

Where do you currently buy your machines?

Who currently handles your repairs?

Please list all brands, warranty and non-warranty.

Do you have any other locations?*

Please list the locations and number of employees at your other locations.

Please provide any additional pickup instructions you would like to convey to our driver.

How did you hear about us?*

ComputerCare's Email List

We won't email you often, we'll just send the good stuff: helpful hardware tips, tech updates and special promotions.

Cookie	Duration	Description
cookielawinfo-checkbox-necessary	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookies is used to store the user consent for the cookies in the category "Necessary".
cookielawinfo-checkbox-non-necessary	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookies is used to store the user consent for the cookies in the category "Non Necessary".
viewed_cookie_policy	11 months	The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. It does not store any personal data.

Cookie	Type	Duration	Description
test_cookie	0	11 months
u	0	2 months

Cookie	Type	Duration	Description
_ga	0	2 years	This cookie is installed by Google Analytics. The cookie is used to calculate visitor, session, campaign data and keep track of site usage for the site's analytics report. The cookies store information anonymously and assign a randomly generated number to identify unique visitors.
_gid	0	1 day	This cookie is installed by Google Analytics. The cookie is used to store information of how visitors use a website and helps in creating an analytics report of how the wbsite is doing. The data collected including the number visitors, the source where they have come from, and the pages viisted in an anonymous form.

Cookie	Duration	Description
bcookie	2 years	This cookie is set by linkedIn. The purpose of the cookie is to enable LinkedIn functionalities on the page.
lang		This cookie is used to store the language preferences of a user to serve up content in that stored language the next time user visit the website.
li_sugr	2 months	Cookie from linkedin.com for browser identification
lidc	1 day	This cookie is set by LinkedIn and used for routing.

Cookie	Type	Duration	Description
bscookie	1	2 years	This cookie is a browser ID cookie set by Linked share Buttons and ad tags.
lissc	0	1 year	3rd party cookie from LinkedIn
UserMatchHistory	0	4 weeks	Linkedin - Used to track visitors on multiple websites, in order to present relevant advertisement based on the visitor's preferences.