Technology Request Form
Social Media | Technology | Virtual Support
Type of Request
*
Please Select
Membership Intake
Event Support
Southwest Region Website Update
Social Media Request
Jotform Request
Other
Full Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Chapter Name
*
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Membership Intake Support Request
MI Support Needed
*
Jotform Issue
Balloting/Voting Issue
Virtual Platform Issue/Support
Other Issue
Platform Type of Support
*
Day of Support (i.e. for Rush, Ceremony)
Full Support (entire process)
Troubleshooting
What type of support will you need?
MI Platform Type
*
Zoom Meeting
Zoom Webinar
Skype
WebEx
Microsoft Teams
GoToWebinar
GoToMeeting
Other
Please select the type of platform where support is needed
MI Event Name
*
MI Event Description
*
MI Event Start Date/Time
*
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Day
Year
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AM/PM Option
MI Event End Date/Time
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Year
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Specify MI Platform
*
Upload MI Calendar
Browse Files
Please attach your MI Calendar. File formats: pdf, doc, docx, xls, xlsx, jpg, jpeg, png
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Describe Issue
*
Please provide details regarding the MI jotform
Upload Supporting Documentation
Browse Files
For example, screenshot of issue encountered. File upload formats: pdf, jpg, jpeg, png
Cancel
of
Submit Request
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Event Support Request
Please submit event support request at least 2 weeks prior to your event.
Is this a Southwest Region event?
*
Yes
No
Event Platform Type
*
Zoom Meeting
Zoom Webinar
Skype
WebEx
Microsoft Teams
GoToWebinar
GoToMeeting
Other
Please select the type of platform where support is needed
Specify Event Platform
*
Event Support Type
*
Day of Support
Full Support (i.e. create event & day of support)
Chat Monitor
Operate Slideshow
Troubleshooting
What type of support will you need?
Event Name
*
Event Description
*
Event Start Date/Time
*
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Month
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Day
Year
Date Picker Icon
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12
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Hour
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10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Event End Date/Time
*
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Month
-
Day
Year
Date Picker Icon
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Hour
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10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Are you requesting use of the Southwest Region Zoom account?
*
Yes
No
Describe Issue
*
Please provide details regarding the MI jotform
Upload Supporting Documentation
Browse Files
For example, screenshot of issue encountered. File upload formats: pdf, jpg, jpeg, png
Cancel
of
Submit Request
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Southwest Region Website Update Request
Please allow a minimum of 48 hours for requests to be fulfilled pending approval from the Regional Director.
Describe Website Updates Requested
*
Upload Supporting Documentation
Browse Files
Please attach images/documents needed for requested updates. File formats: pdf, doc, docx, xls, xlsx, jpg, jpeg, png
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Updates Needed By
*
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Month
-
Day
Year
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Social Media Request
Please allow a minimum of 48 hours for requests to be fulfilled pending approval from the Regional Director.
Type of Request
*
Social Media Posting
Troubleshooting
Describe Posting Request
*
Upload Posting Documentation
Browse Files
Please attach images/documents needed for requested updates. File formats: pdf, doc, docx, xls, xlsx, jpg, jpeg, png
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Posting Needed By
*
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Month
-
Day
Year
Date Picker Icon
Describe Social Media Issue
*
Submit Request
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Southwest Region Jotform Request
Please allow a minimum of 48 hours for requests to be fulfilled pending approval from the Regional Director.
Describe Jotform Request
*
Upload Jotform Supporting Documentation
Browse Files
Please attach a document containing the questions and directions on flow of questions. File formats: pdf, doc, docx, xls, xlsx, jpg, jpeg, png
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Jotform Needed By
*
-
Month
-
Day
Year
Date Picker Icon
Submit Request
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Other Technology Request
Please allow a minimum of 24 to 48 hours for initial response.
Describe Technology Request/Issue
*
Upload Supporting Documentation
Browse Files
Please attach a supporting information (i.e. screenshots). File formats: pdf, doc, docx, xls, xlsx, jpg, jpeg, png
Cancel
of
Submit Request
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