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Customer Check-Up Form
Customer Check-Up Form

Please note all fields are required.

Full Name
IRC Server (Put not applicable if this does not apply to you.)
Would you like to be part of our regular check-ups? Yes No
What is your preferred method of contact for the check-up? IRC Server Email Support Ticket
What is your preferred date and time for your check-up? 1st-10th 11th-20th 21st + Anytime
What is your preferred time for your check-up? Morning Afternoon Evening Anytime
How often would you like your check-ups? Monthly Quarterly Semi-Anually Anually