[contact-form to=”serwispcbelfast@gmail.com”][contact-field label=” Model Name” type=”name” required=”1″][contact-field label=”Fault Description” type=”textarea” required=”1″][contact-field label=”Can Hard Drive be re-formatted?” type=”text” required=”1″][contact-field label=”Is a Data Back-up Required?” type=”text” required=”1″][contact-field label=”What passwords are on your PC?” type=”text”][contact-field label=”Equipment Details” type=”radio” required=”1″ options=”Charger,None”][contact-field label=”Contact Number” type=”text” required=”1″][contact-field label=”Your Name” type=”name”][contact-field label=”Your Address” type=”text” required=”1″][contact-field label=”Your Email ” type=”text” required=”1″][/contact-form]