Customers without a valid support agreement, please complete this form and fax it to 305-698-0115.
Then click "continue" below. If you have any questions, please call your support rep at 305-824-1178 or 888-GET-MR-NET.
 

Ask about our affordable network support plans.

 MR INTERNET SYSTEMS, INC

Request for Remote Service

___ I am a new client    ___ I am an existing client

Company name: ___________________________

Contact person:____________________________

Telephone:________________________________ 

Email:_____________________________________

 Date:

 Estimated Service charge: $________

This serves as authorization for Mr Internet Systems, Inc to provide Remote/Telephone technical support.

Remote technical support involves access to my computer via the internet or via computer modem.

I understand that remote support is billed at a discount off the regular rate.

………………………………..
Authorized Signature

………………………..
Date

 ……………………….
|Title

I authorize Mr. Internet Systems, Inc

to charge my credit card account in the amount of $______________