City Station Service Support Form

City Station Student Information
Student Name*

First NameLast Name
How Would You Like To Be Contact?*

E-MailPhone CallText Message
Student E-mail*
Cell Number

Area CodePhone Number
Building*
Apartment/Suite#*
Bedspace*
Upload a file or screen shot

Upload a File

Cancelof
Computer Type*

ApplePCOther
Computer Information
Computer Type (If Other)
Operating Systems*

Windows 8Windows 7Windows XPMac OSXOtherOther
Operating Systems (If Other)
What is the problem?
Select Your WIFI/Internet Issues*

Can't ConnectLoading SlowKicked OffCan't GameNo IdeaEthernet CableWIFI Settings
Please Explain Your WIFI/Internet Issue*
Enter the message as it's shown*
Should be Empty: