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2. First Name*
3. Last Name*
5. Phone Number*
6. Email Address*
8. Request Type*

   1. Audio Quality Issues
   2. Video Issues (Can't stream, poor picture quality, etc.)
10. Please list in detail the issue that you are having with the video.
12. What type of device are you using?*

    1. Computer (Desktop)
    2. Laptop
    3. iPad
    4. Tablet (Android)
    5. Cellphone
    6. Other (Please List)
14. Please list any other type of device that you are using
16. Please select your browser type*

    1. Chrome
    2. Firefox
    3. Internet Explorer (IE)
    4. Safari
    5. Other (Please List)
18. Please enter your browser type if it was not listed in the selections above
20. Please list your browser version
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

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