Tech By Request Registration

Please provide a VALID Email Address (required) ::

First Name (required) ::

Last Name (required) ::

Phone (required) ::

How would you prefer we contact you? (required) :: Please Choose OneTextPhone CalleMail

When would you prefer we contact you? (required) :: Please Choose OneMorning after 10amAfter NoonEvenings before 6pmWeekend 10a-5pm

Military Service? :: NoneActive DutyVeteran

Library Card Number [Enter "000" if NONE] ::

What specific technology help is needed ::

Preferred Meeting Location? (required) :: Please Choose OneThe LibrarySenior CenterZoomOther

How do you rate your current skill set? (required) :: Please Choose OneNoneNoviceBasicGoodAdvanced