{"id":287,"date":"2025-10-13T05:51:18","date_gmt":"2025-10-13T05:51:18","guid":{"rendered":"https:\/\/grade-a.store\/services\/?page_id=287"},"modified":"2025-11-09T06:57:09","modified_gmt":"2025-11-09T06:57:09","slug":"service-request","status":"publish","type":"page","link":"https:\/\/grade-a.store\/services\/service-request\/","title":{"rendered":"Service Request"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-margin-top:-60px;--awb-margin-bottom:-60px;--awb-flex-wrap:wrap;\" ><div class=\"awb-background-pattern\" style=\"background-image:  url(https:\/\/grade-a.store\/services\/wp-content\/uploads\/sites\/3\/2025\/10\/svg-style-pattern-a-seamless-tileable.png);opacity: 1 ;mix-blend-mode:normal;\"><\/div><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-center\" style=\"--awb-padding-top:20px;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column\"><div class=\"fusion-form fusion-form-builder fusion-form-form-wrapper fusion-form-294 has-icon-alignment\" style=\"--awb-margin-bottom:20px;--awb-tooltip-text-color:#ffffff;--awb-tooltip-background-color:#333333;--awb-form-bg-color:var(--awb-color2);--awb-form-placeholder-color:var(--awb-color4);--awb-form-text-color:var(--awb-color4);--awb-form-label-color:var(--awb-color4);--awb-form-border-width-top:1px;--awb-form-border-width-right:1px;--awb-form-border-width-left:1px;--awb-form-border-radius:6px;--awb-icon-alignment-top:1px;--awb-icon-alignment-bottom:1px;--awb-icon-alignment-font-size:1em;\" data-form-id=\"294\" data-config=\"{&quot;form_id&quot;:&quot;294&quot;,&quot;form_post_id&quot;:&quot;294&quot;,&quot;post_id&quot;:164,&quot;form_type&quot;:&quot;ajax&quot;,&quot;confirmation_type&quot;:&quot;message&quot;,&quot;redirect_url&quot;:&quot;&quot;,&quot;redirect_timeout&quot;:&quot;0&quot;,&quot;field_labels&quot;:{&quot;first_name&quot;:&quot;First Name&quot;,&quot;business_name&quot;:&quot;Business Name&quot;,&quot;phone_number&quot;:&quot;Phone Number&quot;,&quot;last_name&quot;:&quot;Last Name&quot;,&quot;email_address&quot;:&quot;Email Address&quot;,&quot;contact_method&quot;:&quot;Contact Method&quot;,&quot;type_of_service_needed&quot;:&quot;Type of Service Needed&quot;,&quot;operating_system&quot;:&quot;Operating System&quot;,&quot;device_type&quot;:&quot;Device Type&quot;,&quot;urgency_level&quot;:&quot;Urgency Level&quot;,&quot;brief_description_of_the_issue_or_request&quot;:&quot;Brief Description of the Issue or Request&quot;,&quot;upload_files_or_screenshots&quot;:&quot;Upload Files or Screenshots&quot;,&quot;accessibility_needs_or_preferences&quot;:&quot;Accessibility Needs or Preferences&quot;,&quot;how_did_you_hear_about_us&quot;:&quot;How Did You Hear About Us?&quot;,&quot;remote_access_consent_&quot;:&quot;Remote Access Consent &quot;,&quot;preferred_appointment_time&quot;:&quot;Preferred Appointment Time&quot;,&quot;service_authorization&quot;:&quot;Service Authorization&quot;},&quot;field_logics&quot;:{&quot;first_name&quot;:&quot;&quot;,&quot;business_name&quot;:&quot;&quot;,&quot;phone_number&quot;:&quot;&quot;,&quot;last_name&quot;:&quot;&quot;,&quot;email_address&quot;:&quot;&quot;,&quot;contact_method&quot;:&quot;&quot;,&quot;type_of_service_needed&quot;:&quot;&quot;,&quot;operating_system&quot;:&quot;&quot;,&quot;device_type&quot;:&quot;&quot;,&quot;urgency_level&quot;:&quot;&quot;,&quot;brief_description_of_the_issue_or_request&quot;:&quot;&quot;,&quot;upload_files_or_screenshots&quot;:&quot;&quot;,&quot;accessibility_needs_or_preferences&quot;:&quot;&quot;,&quot;how_did_you_hear_about_us&quot;:&quot;&quot;,&quot;remote_access_consent_&quot;:&quot;&quot;,&quot;preferred_appointment_time&quot;:&quot;&quot;,&quot;service_authorization&quot;:&quot;[]&quot;,&quot;notice_1&quot;:&quot;&quot;,&quot;submit_1&quot;:&quot;&quot;,&quot;submit_2&quot;:&quot;&quot;},&quot;field_types&quot;:{&quot;first_name&quot;:&quot;text&quot;,&quot;business_name&quot;:&quot;text&quot;,&quot;phone_number&quot;:&quot;phone_number&quot;,&quot;last_name&quot;:&quot;text&quot;,&quot;email_address&quot;:&quot;email&quot;,&quot;contact_method&quot;:&quot;select&quot;,&quot;type_of_service_needed&quot;:&quot;select&quot;,&quot;operating_system&quot;:&quot;select&quot;,&quot;device_type&quot;:&quot;select&quot;,&quot;urgency_level&quot;:&quot;select&quot;,&quot;brief_description_of_the_issue_or_request&quot;:&quot;textarea&quot;,&quot;upload_files_or_screenshots&quot;:&quot;upload&quot;,&quot;accessibility_needs_or_preferences&quot;:&quot;checkbox&quot;,&quot;how_did_you_hear_about_us&quot;:&quot;select&quot;,&quot;remote_access_consent_&quot;:&quot;consent&quot;,&quot;preferred_appointment_time&quot;:&quot;date&quot;,&quot;service_authorization&quot;:&quot;consent&quot;,&quot;notice_1&quot;:&quot;notice&quot;,&quot;submit_1&quot;:&quot;submit&quot;,&quot;recaptcha_1&quot;:&quot;recaptcha&quot;,&quot;submit_2&quot;:&quot;submit&quot;},&quot;nonce_method&quot;:&quot;ajax&quot;,&quot;form_views&quot;:&quot;ajax&quot;,&quot;form_views_counting&quot;:&quot;all&quot;}\"><form action=\"https:\/\/grade-a.store\/services\/service-request\/\" method=\"post\" class=\"fusion-form fusion-form-294\" enctype=\"multipart\/form-data\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-animated\" style=\"--awb-border-sizes-top:1px;--awb-border-sizes-bottom:1px;--awb-border-sizes-left:1px;--awb-border-sizes-right:1px;--awb-border-color:var(--awb-color6);--awb-border-radius-top-left:20px;--awb-border-radius-top-right:20px;--awb-border-radius-bottom-right:20px;--awb-border-radius-bottom-left:20px;--awb-overflow:hidden;--awb-padding-top:0px;--awb-padding-right:0px;--awb-padding-bottom:0px;--awb-padding-left:0px;--awb-background-color:#ffffff;--awb-flex-wrap:wrap;\" data-animationType=\"fadeInUp\" data-animationDuration=\"1.3\" data-animationOffset=\"top-into-view\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"width:calc( 100% + 0px ) !important;max-width:calc( 100% + 0px ) !important;margin-left: calc(-0px \/ 2 );margin-right: calc(-0px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\">\t\t\t\t\t<div class=\"fusion-slider-container fusion-slider-sc-grade-a-computer-services fusion-slider-32 full-width-slider\" style=\"height:500px; max-width:100%;\" data-id=\"32\" data-full_height=\"\">\n\t\t\t\t\t\t<style type=\"text\/css\">.fusion-slider-32 .flex-direction-nav a {width:63px;height:63px;line-height:63px;font-size:25px;}<\/style>\t\t\t\t\t\t<div class=\"fusion-slider-loading\">Loading...<\/div>\n\t\t\t\t\t\t<div class=\"tfs-slider flexslider main-flex full-width-slider\" data-slider_width=\"100%\" data-slider_height=\"500px\" data-full_screen=\"0\" data-parallax=\"0\" data-nav_arrows=\"1\" data-nav_arrow_size=\"25px\" data-nav_box_width=\"63px\" data-nav_box_height=\"63px\" data-slideshow_speed=\"7000\" data-loop=\"1\" data-autoplay=\"1\" data-orderby=\"date\" data-order=\"DESC\" data-animation=\"slide\" data-animation_speed=\"600\" data-typo_sensitivity=\"1\" data-typo_factor=\"1.5\" style=\"max-width:100%;\">\n\t\t\t\t\t\t\t<ul class=\"slides\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li data-mute=\"yes\" data-loop=\"yes\" data-autoplay=\"yes\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"slide-content-container slide-content-center\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"slide-content\" style=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"heading with-bg\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"fusion-title-sc-wrapper\" style=\"background-color:hsla(var(--awb-color8-h),var(--awb-color8-s),var(--awb-color8-l),calc(var(--awb-color8-a) - 60%))\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-two\" style=\"--awb-text-color:var(--awb-color3);--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:55px;\"><h2 class=\"fusion-title-heading title-heading-center\" style=\"margin:0;font-size:1em;line-height:66px;\">From cracked screens to crashed systems \u2014 we bring your devices back to life.<\/h2><\/div>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"caption with-bg\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"fusion-title-sc-wrapper\" style=\"background-color:hsla(var(--awb-color8-h),var(--awb-color8-s),var(--awb-color8-l),calc(var(--awb-color8-a) - 60%))\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-one\" style=\"--awb-text-color:var(--awb-color1);--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-sep-color:var(--awb-color1);--awb-font-size:30px;\"><h1 class=\"fusion-title-heading title-heading-center\" style=\"margin:0;font-size:1em;line-height:36px;\">Your tech problems solved with precision, care, and expertise.<\/h1><\/div>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"buttons\" >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"background background-image\" style=\"background-image: url(https:\/\/grade-a.store\/services\/wp-content\/uploads\/sites\/3\/2025\/09\/grade-a-repair-slide1-scaled.jpg);max-width:100%;height:500px;filter: progid:DXImageTransform.Microsoft.AlphaImageLoader(src='https:\/\/grade-a.store\/services\/wp-content\/uploads\/sites\/3\/2025\/09\/grade-a-repair-slide1-scaled.jpg', sizingMethod='scale');\" data-imgwidth=\"2560\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<li data-mute=\"yes\" data-loop=\"yes\" data-autoplay=\"yes\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"slide-content-container slide-content-center\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"slide-content\" style=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"heading with-bg\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"fusion-title-sc-wrapper\" style=\"background-color:hsla(var(--awb-color8-h),var(--awb-color8-s),var(--awb-color8-l),calc(var(--awb-color8-a) - 60%))\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-two\" style=\"--awb-text-color:var(--awb-color1);--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-sep-color:var(--awb-color1);--awb-font-size:55px;\"><h2 class=\"fusion-title-heading title-heading-center\" style=\"margin:0;font-size:1em;line-height:66px;\">Fast, reliable fixes for computers, smartphones, and everything in between.<\/h2><\/div>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"caption with-bg\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"fusion-title-sc-wrapper\" style=\"background-color:hsla(var(--awb-color8-h),var(--awb-color8-s),var(--awb-color8-l),calc(var(--awb-color8-a) - 60%))\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"fusion-title title fusion-title-4 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-two\" style=\"--awb-text-color:var(--awb-color1);--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-sep-color:var(--awb-color1);--awb-font-size:30px;\"><h2 class=\"fusion-title-heading title-heading-center\" style=\"margin:0;font-size:1em;line-height:36px;\">We keep your devices running smoothly, so you can stay connected.\"<\/h2><\/div>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"buttons\" >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"background background-image\" style=\"background-image: url(https:\/\/grade-a.store\/services\/wp-content\/uploads\/sites\/3\/2025\/09\/grade-a-repair-slide2-scaled.jpg);max-width:100%;height:500px;filter: progid:DXImageTransform.Microsoft.AlphaImageLoader(src='https:\/\/grade-a.store\/services\/wp-content\/uploads\/sites\/3\/2025\/09\/grade-a-repair-slide2-scaled.jpg', sizingMethod='scale');\" data-imgwidth=\"2560\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion-flex-column\" style=\"--awb-overflow:hidden;--awb-bg-size:cover;--awb-border-color:var(--awb-color7);--awb-border-style:solid;--awb-border-radius:20px 20px 20px 20px;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1 fusion-animated fusion-text-no-margin\" style=\"--awb-content-alignment:center;--awb-font-size:80px;--awb-line-height:1;--awb-letter-spacing:30px;--awb-user-select:none;--awb-margin-top:5px;--awb-margin-right:0px;--awb-margin-bottom:10px;--awb-margin-left:0px;--awb-text-font-family:&quot;Roboto Serif&quot;;--awb-text-font-style:italic;--awb-text-font-weight:900;\" data-animationType=\"slideInLeft\" data-animationDuration=\"0.3\" data-animationOffset=\"top-into-view\"><p style=\"text-align: center;\">Service Inquiry<\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-2\"><p style=\"text-align: center;\">Please fill out the repair request form below\u2014we\u2019ll reach out as soon as possible to get you back up and running.<\/p>\n<\/div>\n<\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;width:100%;\"><div class=\"fusion-separator-border sep-shadow\" style=\"--awb-height:20px;--awb-amount:20px;background:radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-webkit-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-moz-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-o-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);\"><\/div><\/div><div class=\"fusion-title title fusion-title-5 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph\" style=\"--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:20px;\"><p class=\"fusion-title-heading title-heading-center title-heading-tag\" style=\"font-family:&quot;Roboto Serif&quot;;font-style:italic;font-weight:600;margin:0;font-size:1em;\">Client Information<\/p><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;width:100%;\"><div class=\"fusion-separator-border sep-shadow\" style=\"--awb-height:20px;--awb-amount:20px;background:radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-webkit-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-moz-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-o-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);\"><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-padding-left:100px;--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:20px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:20px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"294\"><div class=\"fusion-form-label-wrapper\"><label for=\"first_name\">First Name <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-user-edit fas\"><\/i><input type=\"text\" autocomplete=\"off\" tabindex=\"1\" name=\"first_name\" id=\"first_name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"294\"><div class=\"fusion-form-label-wrapper\"><label for=\"business_name\">Business Name<\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-landmark fas\"><\/i><input type=\"text\" autocomplete=\"off\" tabindex=\"3\" name=\"business_name\" id=\"business_name\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"294\"><div class=\"fusion-form-label-wrapper\"><label for=\"phone_number\">Phone Number <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-mobile-alt fas\"><\/i><input type=\"tel\" autocomplete=\"off\" tabindex=\"5\" name=\"phone_number\" id=\"phone_number\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Phone Number *\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-padding-right:100px;--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"294\"><div class=\"fusion-form-label-wrapper\"><label for=\"last_name\">Last Name <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-user-edit fas\"><\/i><input type=\"text\" autocomplete=\"off\" tabindex=\"2\" name=\"last_name\" id=\"last_name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"294\"><div class=\"fusion-form-label-wrapper\"><label for=\"email_address\">Email Address <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-envelope fas\"><\/i><input type=\"email\" autocomplete=\"off\" tabindex=\"4\" name=\"email_address\" id=\"email_address\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><\/div><\/div><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"294\"><label for=\"contact_method\">Contact Method <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-form-input-with-icon\"><i class=\" fa-address-book fas\"><\/i><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"6\" id=\"contact_method\" name=\"contact_method\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"Email\" >Email<\/option><option value=\"Phone\" >Phone<\/option><option value=\"Text\" >Text<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;width:100%;\"><div class=\"fusion-separator-border sep-shadow\" style=\"--awb-height:20px;--awb-amount:20px;background:radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-webkit-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-moz-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-o-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);\"><\/div><\/div><div class=\"fusion-title title fusion-title-6 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph\" style=\"--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:20px;\"><p class=\"fusion-title-heading title-heading-center title-heading-tag\" style=\"font-family:&quot;Roboto Serif&quot;;font-style:italic;font-weight:600;margin:0;font-size:1em;\">Service Details<\/p><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;width:100%;\"><div class=\"fusion-separator-border sep-shadow\" style=\"--awb-height:20px;--awb-amount:20px;background:radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-webkit-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-moz-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-o-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);\"><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-padding-left:100px;--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:20px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:20px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"294\"><label for=\"type_of_service_needed\">Type of Service Needed <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-form-input-with-icon\"><i class=\" fa-taxi fas\"><\/i><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"7\" id=\"type_of_service_needed\" name=\"type_of_service_needed\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"Device Repair\" >Device Repair<\/option><option value=\"Website Help\" >Website Help<\/option><option value=\"Remote Service\" >Remote Service<\/option><option value=\"Network Service\" >Network Service<\/option><option value=\"IT Onsite Service\" >IT Onsite Service<\/option><option value=\"Accessibility Consultation\" >Accessibility Consultation<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><\/div><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"294\"><label for=\"operating_system\">Operating System <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-form-input-with-icon\"><i class=\" fa-window-restore fas\"><\/i><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"9\" id=\"operating_system\" name=\"operating_system\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"Windows\" >Windows<\/option><option value=\"macOS\" >macOS<\/option><option value=\"Linux\" >Linux<\/option><option value=\"Other\" >Other<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-padding-right:100px;--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"294\"><label for=\"device_type\">Device Type<\/label><div class=\"fusion-form-input-with-icon\"><i class=\" fa-laptop-medical fas\"><\/i><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"8\" id=\"device_type\" name=\"device_type\" class=\"fusion-form-input\" data-holds-private-data=\"false\"><option value=\"Desktop\" >Desktop<\/option><option value=\"Laptop\" >Laptop<\/option><option value=\"Smart Device\" >Smart Device<\/option><option value=\"Server\" >Server<\/option><option value=\"Other\" >Other<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><\/div><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"294\"><label for=\"urgency_level\">Urgency Level <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-form-input-with-icon\"><i class=\" fa-ambulance fas\"><\/i><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"10\" id=\"urgency_level\" name=\"urgency_level\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"Low\" >Low<\/option><option value=\"Medium\" >Medium<\/option><option value=\"High\" >High<\/option><option value=\"Emergency\" >Emergency<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-padding-right:100px;--awb-padding-left:100px;--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"294\"><label for=\"brief_description_of_the_issue_or_request\">Brief Description of the Issue or Request<\/label><div class=\"fusion-form-input-with-icon\"><i class=\" fa-comment-dots fas\"><\/i><textarea cols=\"40\" autocomplete=\"off\"  minlength=\"0\"  rows=\"2\" tabindex=\"11\" id=\"brief_description_of_the_issue_or_request\" name=\"brief_description_of_the_issue_or_request\" class=\"fusion-form-input\" data-holds-private-data=\"false\"><\/textarea><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;width:100%;\"><div class=\"fusion-separator-border sep-shadow\" style=\"--awb-height:20px;--awb-amount:20px;background:radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-webkit-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-moz-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-o-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);\"><\/div><\/div><div class=\"fusion-title title fusion-title-7 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-paragraph\" style=\"--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:20px;\"><p class=\"fusion-title-heading title-heading-center title-heading-tag\" style=\"font-family:&quot;Roboto Serif&quot;;font-style:italic;font-weight:600;margin:0;font-size:1em;\">Attachments &amp; Access<\/p><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;width:100%;\"><div class=\"fusion-separator-border sep-shadow\" style=\"--awb-height:20px;--awb-amount:20px;background:radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-webkit-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-moz-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-o-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);\"><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-padding-right:100px;--awb-padding-left:100px;--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-upload-field fusion-form-label-above\" style=\"--awb-preview-thumb-width:115px;\" data-form-id=\"294\"><label for=\"upload_files_or_screenshots\">Upload Files or Screenshots<\/label><div class=\"fusion-form-input-with-icon\"><i class=\" fa-cloud-upload-alt fas\"><\/i><div class=\"fusion-form-upload-field-container\"><input type=\"file\" id=\"upload_files_or_screenshots\" name=\"upload_files_or_screenshots[]\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Click or drag a file to this area to upload. \" data-size=\"5\" multiple data-single-add-remove=\"no\" data-min-upload-files=\"0\" data-max-upload-files=\"0\" data-uploads-preview=\"filenames\"\/><div class=\"fusion-form-upload-field\"  data-holds-private-data=\"false\"><span class=\"awb-upload-placeholder\" data-default=\"Click or drag a file to this area to upload.\">Click or drag a file to this area to upload.<\/span><div class=\"awb-uploads-preview\"><div class=\"awb-preview-thumbs\"><\/div><\/div><\/div><div ><a class=\"fusion-button button-flat button-medium button-default fusion-button-default button-1 fusion-button-default-span fusion-button-default-type fusion-form-upload-field-button\" style=\"--button-border-radius-top-left:0px;--button-border-radius-top-right:0px;--button-border-radius-bottom-right:0px;--button-border-radius-bottom-left:0px;\" target=\"_self\" href=\"javascript:void();\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Choose File<\/span><\/a><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-padding-left:100px;--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:20px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:20px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"294\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Accessibility Needs or Preferences<\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"12\" id=\"checkbox-accessibility_needs_or_preferences-1-0\" type=\"checkbox\" value=\"I require accessible communication or support.\" name=\"accessibility_needs_or_preferences[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-accessibility_needs_or_preferences-1-0\">I require accessible communication or support.<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"294\"><label for=\"how_did_you_hear_about_us\">How Did You Hear About Us?<\/label><div class=\"fusion-form-input-with-icon\"><i class=\" fa-assistive-listening-systems fas\"><\/i><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"14\" id=\"how_did_you_hear_about_us\" name=\"how_did_you_hear_about_us\" class=\"fusion-form-input\" data-holds-private-data=\"false\"><option value=\"Referral\" >Referral<\/option><option value=\"Google\" >Google<\/option><option value=\"Social Media\" >Social Media<\/option><option value=\"Returning Client\" >Returning Client<\/option><option value=\"Other\" >Other<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-14 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-padding-right:100px;--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-consent-field fusion-form-label-above\" style=\"\" data-form-id=\"294\"><div class=\"fusion-form-label-wrapper\"><label for=\"remote_access_consent_\">Remote Access Consent <\/label><\/div><div class=\"fusion-form-checkbox option-inline\"><input tabindex=\"13\" id=\"remote_access_consent_\" type=\"checkbox\" value=\"1\" name=\"remote_access_consent_\" class=\"fusion-form-input\"\/><label for=\"remote_access_consent_\">I consent to remote access via ConnectWise ScreenConnect.<\/label><\/div><\/div><div class=\"fusion-form-field fusion-form-date-field fusion-form-label-above\" style=\"\" data-form-id=\"294\"><label for=\"preferred_appointment_time\">Preferred Appointment Time<\/label><div class=\"fusion-form-input-with-icon\"><i class=\"fa-calendar-alt fas\"><\/i><input autocomplete=\"off\" type=\"date\" data-disabled-days=\"saturday,sunday\"  data-first-day=\"1\"  data-format=\"M-d-Y\" tabindex=\"15\" id=\"preferred_appointment_time\" name=\"preferred_appointment_time\" data-type=\"custom\" value=\"\" data-holds-private-data=\"false\" class=\"fusion-form-input\"autocomplete=\"no\"\/><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-15 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-padding-right:100px;--awb-padding-left:100px;--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;width:100%;\"><div class=\"fusion-separator-border sep-shadow\" style=\"--awb-height:20px;--awb-amount:20px;background:radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-webkit-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-moz-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-o-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);\"><\/div><\/div><div class=\"fusion-form-field fusion-form-consent-field fusion-form-label-above\" style=\"\" data-form-id=\"294\"><div class=\"fusion-form-label-wrapper\"><label for=\"service_authorization\">Service Authorization<\/label><\/div><div class=\"fusion-form-checkbox option-inline\"><input tabindex=\"16\" id=\"service_authorization\" type=\"checkbox\" value=\"1\" name=\"service_authorization\" class=\"fusion-form-input\"\/><label for=\"service_authorization\">I hereby authorize Grade-A Computer Services to perform diagnostic, repair, or upgrade services on my device(s). I understand that while all reasonable precautions will be taken, there is a risk of data loss or hardware failure during service. I confirm that I have backed up my data or accept the risk of potential data loss. I acknowledge that any software installed during service may be removed upon completion. I agree to the terms of service and understand that payment is due upon completion unless otherwise arranged.<\/label><\/div><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;width:100%;\"><div class=\"fusion-separator-border sep-shadow\" style=\"--awb-height:20px;--awb-amount:20px;background:radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-webkit-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-moz-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-o-radial-gradient(ellipse at 50% -50% , var(--awb-color3) 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);\"><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-16 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"form-submission-notices data-notice_1\" id=\"fusion-notices-1\" data-instance=\"1\"><div class=\"fusion-alert alert success alert-success fusion-alert-center fusion-form-response fusion-form-response-success awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-check-circle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Thank you for your submitting your service request. It has been sent.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><div class=\"fusion-alert alert error alert-danger fusion-alert-center fusion-form-response fusion-form-response-error awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-exclamation-triangle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">There was an error trying to send your service request. Please try again later.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-17 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above\" style=\"\" data-form-id=\"294\"><div ><button type=\"submit\" class=\"fusion-button button-3d fusion-button-default-size button-custom fusion-button-default button-2 fusion-button-span-yes fusion-has-button-gradient button-default form-form-submit\" style=\"--awb-margin-top:10px;--button_bevel_color:var(--awb-color8);--button_accent_color:var(--awb-color1);--button_border_color:var(--awb-color8);--button_accent_hover_color:var(--awb-color1);--button_border_hover_color:var(--awb-color1);--button_border_width-top:1px;--button_border_width-right:1px;--button_border_width-bottom:1px;--button_border_width-left:1px;--button-border-radius-top-left:20px;--button-border-radius-top-right:20px;--button-border-radius-bottom-right:20px;--button-border-radius-bottom-left:20px;--button_gradient_top_color:#008700;--button_gradient_bottom_color:var(--awb-color5);--button_gradient:radial-gradient(circle at center center,#008700 0%,var(--awb-color5) 100%);--button_gradient_top_color_hover:hsla(var(--awb-color5-h),calc(var(--awb-color5-s) - 5%),calc(var(--awb-color5-l) - 10%),var(--awb-color5-a));--button_gradient_bottom_color_hover:#008700;--button_gradient_hover:radial-gradient(circle at center center,hsla(var(--awb-color5-h),calc(var(--awb-color5-s) - 5%),calc(var(--awb-color5-l) - 10%),var(--awb-color5-a)) 0%,#008700 100%);--button_typography-font-family:&quot;Roboto Serif&quot;;--button_typography-font-style:normal;--button_typography-font-weight:700;\" data-form-number=\"294\" tabindex=\"17\"><i class=\"fa-check-double fas awb-button__icon awb-button__icon--default button-icon-left\" aria-hidden=\"true\"><\/i><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Submit Request<\/span><\/button><\/div><\/div><div class=\"fusion-form-field fusion-form-recaptcha-field fusion-form-label-above\" style=\"\" data-form-id=\"294\">\t\t\t\t<div class=\"form-creator-recaptcha\" >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"fusion-form-recaptcha-wrapper\">\n\t\t\t\t\t\t\t\t\t\t<div\n\t\t\t\t\t\t\tid=\"g-recaptcha-id-form-294\"\n\t\t\t\t\t\t\tclass=\"fusion-form-recaptcha-v3 recaptcha-container \"\n\t\t\t\t\t\t\tdata-sitekey=\"6LdVmhksAAAAAC0MMplz4K1YonwlKrpKT3WkkYEm\"\n\t\t\t\t\t\t\tdata-badge=\"inline\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"hidden\"\n\t\t\t\t\t\t\tname=\"fusion-form-recaptcha-response\"\n\t\t\t\t\t\t\tclass=\"g-recaptcha-response\"\n\t\t\t\t\t\t\tid=\"fusion-form-recaptcha-response-294\"\n\t\t\t\t\t\t\tvalue=\"\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-18 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above\" style=\"\" data-form-id=\"294\"><div ><button type=\"reset\" class=\"fusion-button button-3d fusion-button-default-size button-custom fusion-button-default button-3 fusion-button-span-yes fusion-has-button-gradient button-default form-form-reset\" style=\"--awb-margin-top:10px;--button_bevel_color:var(--awb-color8);--button_accent_color:var(--awb-color1);--button_border_color:var(--awb-color8);--button_accent_hover_color:var(--awb-color1);--button_border_hover_color:var(--awb-color1);--button_border_width-top:1px;--button_border_width-right:1px;--button_border_width-bottom:1px;--button_border_width-left:1px;--button-border-radius-top-left:20px;--button-border-radius-top-right:20px;--button-border-radius-bottom-right:20px;--button-border-radius-bottom-left:20px;--button_gradient_top_color:#ff0000;--button_gradient_bottom_color:var(--awb-color5);--button_gradient:radial-gradient(circle at center center,#ff0000 0%,var(--awb-color5) 100%);--button_gradient_top_color_hover:hsla(var(--awb-color5-h),calc(var(--awb-color5-s) - 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