INTERNET JUNCTION - Connection Problem Form

Connection Problem Form

Use this form if you have experienced any problems connecting to an Internet Junction access number. Fill out the form as completely as possible so that we may address your connection issue appropriately.

Member Information:

First Name:

Last Name:

Username:

Domain Name:

Contact Number:

( )

Problem Connecting to website:

Can't Connect to website: (explain below)

Problem Connection Location:

Problem Dial-up Number:

( ) -

Connection Speed:

Problem Connection Information:

Date of Connection trouble:

Approximate Time of Connection Trouble:

Problem Connection Type or message:

	Connect at less than 26400
	Ring, No Answer
	Busy signal
	Modem answers, but cannot connect
	Modem connects, but cannot authenticate
	Modem connects, authenticates but doesn't logon
	"Your call cannot be completed as dialed"
	"All circuits are busy at this time"
	"The number you have dialed is being checked for trouble"
	"The number you have dialed is not in service at this time"
	Connection established, then dropped after minutes
	Other, please describe:

Please, Submit only one connection problem per case.

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