Gertz/Merkin Tech Request Form
Please use this form for any tech related help that is needed. This form is for both Merkin & Gertz Staff & Students.
**NOTE: YOUR REQUEST WILL BE ANSWERED IN THE ORDER IT IS RECEIVED.**


Utilice este formulario para cualquier ayuda relacionada con la tecnología que sea necesaria. Este formulario es para el personal y estudiantes de Merkin & Gertz.
**NOTA: SU RESPUESTA SERÁ RESPONDIDA EN EL ORDEN QUE SE RECIBA.**
Email *
Student's First Name?/ Primer Nombre del estudiante? *
Student's Last Name?/ Apellido del estudiante? *
Please select which applies *
If student: What grade are you in?/ En que nivel esta estudiante? *
What is the issue?/ Que es el problema? *
How urgent? / Que tan urgente *
What is best way to reach you? / Que es major modo de comunicarse con usted? *
What is phone number you can be reached at?/ Que es su numero? *
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