Reception Issue Form

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	Nashua CTV

Cable Televison Advisory Board

Reception Issue Form

This form is for reporting reception issues with the City of Nashua Community Television channels 16, 96, and 99. Please complete the following questionnaire to let us know of issues affecting our local PEG (Public/Education/Government) channels. Please complete only if you are experiencing issues with a City of Nashua channel. Once completed, your information will be sent to our PEG Program folks. In the event that we need additional information we may contact you. For issues concerning other channels, please call Comcast Customer Service at 800-266-2278.

Please fill out the form below:

I have noted a problem on:*

Are you having issues with any other cable channels?:*	Yes No


The issue involves:*



Is the problem intermittent?:*	Yes No





Please fully describe the issue you experienced:*






Have you notified Comcast regarding this issue?:	Yes No


If yes, what was their response?:

What program / meeting were you watching or trying to watch?:*

What time did you experience the issue?:*

What date did you experience the issue?:*


If you are unable to hear a meeting or meeting participants, who could you not hear? (Please note that some participants do not always use their microphone properly, we will continue to try to educate members on proper microphone usage.)

What is your Comcast service address?:*

What is the name the account is under?:*

What is your name?: *

Your phone#?:*

Your email?:*

Enter the code shown above

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