Noxubee County High School Office of Technology
Please complete the following.  I know your needs are varied and extremely important to you!  Rest assured, I will
respond to your request as soon as possible.  Your understanding is appreciated.

PLEASE COMPLETE FORM. PRINT A COPY AND PLACE IN TECHNOLOGY FOLDER IN THE MAIN OFFICE.
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Your  Name *
Email Address
Date mm/dd/yyyy *
Room Number *
My problem concerns...
Identify computer/printer Type
BPI blue tag number needed.
What seems to be the problem? *
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