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Contact the Web Provider for CGCW Technical Assistance
*required field
In order to best identify and find a resolution to your issue, please fill out the information below to the best of your ability. The more details we know about your system, browser, etc., the better we can troubleshoot a problem. |
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Name*: | |
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Email*: | |
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Your Location*, i.e. Alabama/US, Alberta/Canada, France: | |
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Describe the nature of your technical problem using the website*: | |
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Computer Operating System and Version*, i.e. Mac OS X Version 10.6.7: | |
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Browser and Version used when you encountered the issue*, i.e. Safari Version 5.0.5: | |
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| Computer used is located: (choose one) |
| At home |
| At work |
| Public space, e.g. wifi cafe |
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| My computer has security software installed. | |
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If yes, please name the security software and version: | |
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| My internet connection/wi-fi has a firewall*: | |
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Other notes: | |
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| last name | |
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