LOGICAL CHOICE TECHNOLOGIES :: WEB CONTACT FORM ::

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WEB CONTACT FORM

Web Contact Form

For technical assistance ONLY. For general information inquiries, please feel free to call us at 1-800-730-5644 or contact us via e-mail by using the contact us form.

1. Please tell us who we can contact to discuss this problem:

First Name:
Last Name:
Contact Phone Number:(Digits only, no dashes)
Contact Email:

How should we contact this person?

Email
Phone
When will the contact be near the faulty equipment to help us troubleshoot?
am
pm

2. Existing Logical Choice Case Number describing this problem:

If there is not an existing Logical Choice case number for this problem (or if you do not know the case number) – please complete the following questions:

You work for the:

District
School
Other (please specify)
LCT Sales (For Demo Equipment Only)

District Name:
School Name:
Room Number of Issue:
Serial Number (if applicable)
Purchase Order number (optional):
On what date did the equipment last function correctly? (optional)	/ /