The American Cancer Society: Survey - Great West Division Online Help Request

Great West Division Online Help Request

	Please use this form to let us know of any problem that you may be having with your event website. Please note: if you are having issues with RelayForLife.org or Cancer.org you should contact 1-800-ACS-2345. Required Fields. Please provide us with information so we may contact you. Please provide the following information so we can handle your issue efficiently. For future reference, please bookmark this URL. You will receive a response within 48 hours of form submission, excluding weekends and holidays. Denotes Required Fields.
*1.	Question - Required - Please provide your FIRST and LAST name
*2.	Question - Required - Your email address
*3.	Question - Required - Which type of event do you need help with:
*4.	Question - Required - Your role with this event
*5.	Question - Required - Which category best describes the problem that you are experiencing:
*6.	Question - Required - Please provide a detailed description of the issue you are having. If you received an error message please include the exact text of the error message with your description.
*7.	Question - Required - What is the full name of your event INCLUDING the City (ex. Relay For Life of Tacoma, WA)
*8.	Question - Required - What state is your event taking place in?
*9.	Question - Required - Are you requesting access to your Event Management center on your event's website?
10.	Question - Not Required - If YES to above, what position do you hold on your committee?
11.	Question - Not Required - If you know your event's Lawson Code, please enter it here. (Required for staff. Not required for volunteers, but helpful if known)
	Additional Information For Technical Issues In order to troubleshoot any technical difficulties you might be having, please provide more information that may help us resolve the issue.
12.	Question - Not Required - What type of browser were you using? Opera Internet Explorer 9 Internet Explorer older version Firefox Safari Chrome
13.	Question - Not Required - What is the web address (URL) of your event's home page?
14.	Question - Not Required - Are you using a Macintosh or a PC? Macintosh PC
15.	Question - Not Required - Are you using your company's network connection when accessing the site or when the problem occurred?
16.	Question - Not Required - Are you using a dial up connection?