CCN Computer Help Request Form
NOTE:
All fields are required in order for our support group to contact you. If you want to apply for a new CCN computer account, please fill out this
account request form
and email it to .
First name
Last name
E-mail
Phone
Subject
Details
Include error message, machine type, application version, etc.
DO NOT include
Protected Health Information
(PHI)!
©2004 Center for Cognitive Neuroscience
Duke University
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