Tech Issue

Please submit all requested information:

* Indicates required field

STORE NAME: *

Your Name: *

Position: *

Email *

Date *

Time *

Your Phone Number *

Store Phone Number *

POS: *

System: *

Software Version *

Level 1 - Store Down (Server POS/All PC's)
CALL 828-851-6077 (After Submission)
Afer-Hours/Weekends: (800) 901-5982
Level 2 - Some PC's Down (not critical)
Level 3 - Customer Issues/Single PC Issue

Select Incident Level: *

Describe the issue(s) in detail: *

Customer Information

If a Customer was involved, please provide ALL of the following information:

Customer's Name (First and Last) *

Driver License #: *

ID *

By clicking submit, you affirm all information provided is true and accurate to the best of your knowledge.

Code (IF Given by Tech Over The Phone) *

Submit