Help Request Form

We appreciate your interest in Raleigh SeniorTechEd and hope that we will be able to answer your question and/or solve your technology problem. Please fill out this form and e-mail it to us (by selecting the ‘Send’ button)  and our coordinator will contact you.

What is your question or please tell us how we can help you? *(Required)

What is the technology platform(s) with which you need help? *(Required)


Your Name *(Required)

Zipcode *(Required)

Telephone number where you can be reached (include area code) *(Required)

Email address *(Required)

Note: Telephone number and email address are for us to contact you regarding your request and will not be shared.

Contact Preference: PhoneEmail

Special contact information: