Mobile Version of Website

Chapter/Council Name *

Please list the full name of your chapter or council and not an acronym because this helps us identify who you are.

Website Address *

First and Last Name *

Email Address *

Phone Number & Extension *

Please Contact Me By *

Phone

Description of Assistance Needed *

Please provide a clear and specific description of the problem or issue.

URL of the page on your site *

Copy and paste from the address bar the URL you were trying to go to where you got the error or expierenced the problem.

Exactly what steps you took and got the error *

Please be as specific as possible. Basically, tell us what steps we need to take to recreate your issue, what you expected to happen and what actually happened.

Type & Version of browser being used *

Priority Level *

Low

Medium

High

Submitting this form will generate a support ticket for the SHRM Affiliate Website Program Help Desk and will be assigned to a team member to assist you.

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

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Mobile Version of Website

SHRM Affiliate Website Program