Technical Support Request Form

If you have already submitted a tech support request and want to follow up on it, enter your email address and request number and press submit to continue.
FOLLOW-UP REQUEST
Email: Request No:

	Support Request For Class: Mase, M. - (HIST 140) Section Number: 5190
	*First Name:	*Last Name:
	WebCT user name: (If known)	WebCT password: (If known)
	*Last 4 Digits of SSN:	*Email Address:
	Phone Number:	*Computer Type:
	*Operating System:	*Browser:
	Support Request: (Describe the problem. Please be as detailed as possible.)
	* Indicates required fields

Golden West College - 15744 Golden West Street - Huntington Beach, California 92647 - 714.892.7711