Moosabec CSD 917    
School Union No. 103   Technical Support Request Form

Please fill out this form to request technical support for any technical problems.  		  
The technical dept will respond to the submission of this form with a return email. If you do not receive a return email please submit this from again.  

Date:     

 
Contact Information:

E-mail:

Name: 

School:   (BES, JBHS, JES)
 
Equipment Information

What is the computer's name:    (Name is located on top cover of desktop computers and on the bottom of notebook computers.)

Where is the equipment located:    (Room, Cart, etc.)

Printer model: 
 
MLTI Notebook Information

What is the notebook's MLTI number:      (Number is located on bottom cover of iBooks.)

What is you MLTI username:    

What is your MLTI password:   

What grade is student in:   

Where will the notebook be left for pickup:     (Room, cart, etc.)
Problem with equipment, software, printer, etc.  

Please describe the problem including any error messages, etc.



 

  If this form does not work you can email me directly: eblake1@union103.org

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