There may be occasions that you may experience computer/internet trouble. To better help you in solving your problem, we ask that you fill out and submit the following form. This will help our technicians determine if this is a problem with our equipment and to schedule a time to contact you.

Name:

Email Address:

Telephone Number:

Username:

Password:

Operating System:

Modem: (make/model)

Do you live
out of town?

If yes, how far?

Are you getting
error messages?

Please give as many details as possible:

Are you having
trouble getting
connected?

Are you having
trouble staying
connected?

Please keep a log of date and time of problem and how long you were online before being disconnected.

Time of Day or Evening to reach you: