Please help us resolve any issues by providing as much information as possible

Contact Information:
Full Name
NEiA ID #
E-mail Address
Course trouble relates to
Instructor of that course
Phone
Equipment Information:
Equipment Location
 Other:
 
Affected Equipment's 
Station number
Make/Manufacturer
Model Number
Have you read the manual for this equipmentYes:    No:
 
What are the symptoms of the problem, and how
did you come across this problem.
Please Be as specific as possible.


What have you done to get around this problem.
Please Be as specific as possible.





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