Welcome to the Wilson Technologies Technical Request Interface. Please answer the following questions concerning your trouble report or development need.
Are you an existing customer of Wilson Technologies?
Yes, I am a existing customer
No, I am not an existing customer
What kind of request will you be making?
This is a trouble report
This is a development request
Please provide us with more information about your specific problem.
What type of trouble are you reporting?
Problem with website
Problem with computer
Problem with network
Other
What is the name of the website / location with the problem?
What is the priority status of this problem? (Hover over level to get details)
Please provide us with more information about your specific development request.
What type of develpment are you planning?
New Basic/Information Website
New E-Commerce Website
Maintenance/Development on existing website
Other
What is the name of the website/ location in question?
If site does not currently exist please specify.
What is the priority status of this request? (Hover over level to get details)
Please note some requests may require more time than requested.
CONTACT INFORMATION - Please provide us with your contact information so that we can get in touch with you to discuss the details of your request. Fields marked with an * are required.
*Your Name:
*Company Name:
*Address:
*City, *State, *ZIP Code:
State
AA
AE
AL
AP
AZ
AR
CA
CO
CT
DE
DC
FL
GA
IA
ID
IL
IN
KS
KY
LA
MA
ME
MD
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NV
NM
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*Phone Number:
FAX Number:
*Email Address:
*Contact Hours:
8am to 12pm
12pm to 5pm
After 5pm
Anytime
BILLING INFORMATION - Please provide us with your billing information so that we can get in touch with you to discuss the details of your request. Fields marked with an * are required.
*How will you be paying for the service you are requesting?
Visa/Mastercard
Personal Check
Business Check
Cash
Existing Maintenance Contract
Would you like to use your contact information as your billing information?:
Yes use my contact information
No use the billing information below
*Your Name:
*Company Name:
*Address:
*City, *State, *ZIP Code:
State
AA
AE
AL
AP
AZ
AR
CA
CO
CT
DE
DC
FL
GA
IA
ID
IL
IN
KS
KY
LA
MA
ME
MD
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NV
NM
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*Phone Number:
FAX Number:
*Email Address:
*Contact Hours:
8am to 12pm
12pm to 5pm
After 5pm
Anytime
Please explain in as much detail as possible the problem you are experiencing.
How may we help you?
Please explain in as much detail as possible the development need you are requesting.
How may we help you?
Thank you for submitting your technical request ticket. Your ticket number is . You will receive an automatic email confirming all of the information you have provided here today. We will review your request and contact you shortly to further discuss your specific need.
If you would like to print a copy of the request ticket you just submitted, use the button below.
You can contact Wilson Technologies directly by phone at (815) 341-4059 or email at
info@wilson-tech.com
. When contacting us regarding the request you just submitted please mention the ticket number above (also located in the confirmation email) so that we can better sever you.
Your request has been cancelled.
You can contact Wilson Technologies directly by phone at (815) 341-4059 or email at
info@wilson-tech.com
.
Processing your Technical Request.
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We are sorry for the inconvenience, but your Technical Request could not be processed at this time.
You can contact Wilson Technologies directly by phone at (815) 341-4059 or email at
info@wilson-tech.com
.
