Genesis Computer Build Request Form

Email

This field is for validation purposes and should be left unchanged.

What is the primary purpose?(Required)

Work

Home

Gaming

What is the most important to you?(Required)

Speed

Graphics

Storage

Looks

Price

Simplicity

Up-to-Date

Check all that apply.

What type of programs do you typically use?(Required)

Office

Photo Editing

Browsers

CADD

Emulators

Do you need additional hardware?(Required)

Yes, I need everything.

Yes, I need some accessories.

No, I don't need any accessories.

Any Special Requests?

Enter any additional information here.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Company

If applicable

Do you need multiple computers?(Required)

Yes

No

Number of Computers Needed

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