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Technology Problem Form

- Our media outreach is vital to community knowledge and we appreciate knowing of cliches or problems that are occurring of which we may not be aware.
  
  Please use the form below to indicate where we need to send our technicians to make needed repairs.
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Problem/Request REQUIRED
  Please be as specific as possible
  Please fill out this field.
  
  Problem Location
  
  Place where Problem is Occurring REQUIRED Website Facebook YouTube App Other Please fill out this field.
  
  Location Page or URL
  Put in the page name or the URL
  Please enter valid data.
  
  Contact Information
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Submit
  
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