*Name

*School or Department

*Email Address

*Phone Number
Extension or can-be-reached number

Room Number
If applicable

Type of Request Desktop computer hardware Laptop hardware Software Printer Network/Internet connectivity Classroom/Office phone iPad or iPod Touch District iPhone Other mobile device Projector or document camera Aeries or ABI Google Apps Other

Computer Hardware Type Not applicable Mac PC

Computer Operating System Not applicable Windows 7 Windows XP Windows 2000 Windows other Mac OS X (10.x.x) Mac OS 9 of below Other

*Request Details
Please provide as much detail as possible about your tech support request

*Required