remoter

REMOTE SERVICE REQUEST

Non-Member Public Rate: $2.99 per minute

Remote Request Info

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Describe problem you need help with. *

Billing Information

Name on Card *

Card Type *

Card Number *

Expiration Date *

Card Security Code *

Billing Zip Code *

By submitting this application you authorize The Offices of Dr. Nate Daniels & The Computer Specialists, LLC to charge your card for remote services at the rate of $2.99 per minute. You agree to the terms and conditions of our services plus the terms and conditions of your credit card agreement.

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