Technology Request
Contact Details
Please enter your contact details carefully. These are used to send you an automated response so that you know your request has been successfully submitted to us. These are also used so that we may contact you as needed. Thank you.
Name *
Contact Number *
Please enter your FAITH EXTENSION if you have one; if no extension, please enter your mobile phone number.
Email Address *
Please type carefully and double-check. A confirmation email will be sent to you at this address.
Request Details
Please provide as much information as possible. The more details you can provide, the quicker we can serve you and the more prepared we can be when coming to your aid.
Location *
Please enter the location where the service is needed.
Service Category *
Please select one.
Urgency of Request *
Please select the appropriate response.
Nature of the Request *
Please provide as much detail as possible when reporting a problem or requesting assistance. The more you provide, the better we can serve you. Please remember to limit your request to one (1) issue.
Availability *
Please indicate TIMES (not periods) it is convenient for the I.T.Servants to contact you.
MM
/
DD
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YYYY
Time
:
Other Times Availability
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