Your Name:

Email Address: there are NO spaces in a correct email address

School/University Name:

Course Name:

Your Phone Number: please include the area code

Best Time to Call (days and times):

Have you installed the Media Tools CD? (check for yes)

This is a new problem (check for yes) OR

A problem previously reported (check for yes)

CD Label (Primary title on CD):

Revised Date or Version on CD

Problem category:

Logging on to the Internet (can't get logged on or can't send email)

Viewing a Presentation or Document on the CD (can't view some content - or plays poorly)

Taking a Test (can't take a test or a quiz - or can't send quiz)

Computer issue (CD drive, sound, or other device isn't working)

Other (none of the above)

Tell about the problem: (Example: When I do __ , ___ happens, and then when I do ___ , ___ happens. I have tried ___ and ___)

Other comments:

Please double check your phone number and email address so that we can contact you.

Press Submit to send this information to our technical support staff. You will receive a confirmation form to print.