Technology Committee Request Form
Please complete this form to request technology-related items or services. Be sure to provide all necessary details for prompt processing.

Please note that all requests for equipment purchases, equipment repairs (including help with laptops/ tablets), email assistance, and help with cnia.org need to be issued using this form.

Upon receipt, the E-Services Committee will evaluate your request and respond within 3 to 5 days.
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Name *
Email address *
CNIA 07 Service Position *
Type of Request *
Required
Brief Summary of Your Request *
Priority *
Very high
Very low
Send a Message to the E-Services Committee Chair
Equipment Purchase Requests - Please provide additional information on what specific is needed and what it will be used for
Equipment Repair Request - Provide a brief summary of the equipment and issues you are experiencing 
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