DISCOUNT COMPUTER SALES
Request for Service Form

( Available Only To Residents Of Ark City + Winfield )

( * = Required Information )
* Name : 
* Address : 
* City : 
* Phone : 
* Email : 

Directions To Your Location
Type of Service : 

Day Service is Requested :
Monday    Tuesday    Wednesday    Thursday    Friday   

Time of Service : 

* Desciption of Problem or Service Requested

Please submit form and our technician will contact you during normal business hours


Proudly Serving Arkansas City, Winfield, and all Cowley County Since 2005