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* 1. What is your first name?

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* 2. What is your email address?

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* 3. Please provide a brief description of the issue...

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* 4. Where are you located?

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* 5. What time were you watching?

Date
Time

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* 6. What Internet Service Provider do you have? 

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* 7. How were you watching?
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* 8. Please let us know any further information in regards to your issue.

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