City Station Student Information
Student Name
*
First Name
Last Name
How Would You Like To Be Contact?
*
E-Mail
Phone Call
Text Message
Student E-mail
*
Cell Number
-
Area Code
Phone Number
Building
*
Please Select
East
West
South
North
Apartment/Suite#
*
Bedspace
*
Upload a file or screen shot
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of
Computer Type
*
Apple
PC
Other
Computer Information
Computer Type (If Other)
Operating Systems
*
Windows 8
Windows 7
Windows XP
Mac OSX
Other
Other
Operating Systems (If Other)
What is the problem?
Select Your WIFI/Internet Issues
*
Can't Connect
Loading Slow
Kicked Off
Can't Game
No Idea
Ethernet Cable
WIFI Settings
Please Explain Your WIFI/Internet Issue
*
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*
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