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Digital Media/ICT - Information & Feedback Form

Online Feedback Form:

         
 

Please complete this form to:

• ask questions about research and digital media production at D:media

• share your thoughts about our services and products

   
 

Have a Question?  Have a Comment?

Select one of the following links to begin. If you want to send more than one type of communication, fill out the additional parts of the form. We can reply only if you provide your email and/or mailing address.

   

 

I have a question about research and records at NARA
Instructions: Please select the topic of your question

Instructions: Please type your question in the box below
Please be as specific as possible. Details help us to understand your question.
If you also want to make a comment, fill out the rest of the form. If you are done, please provide your contact information.

I have a comment, suggestion, compliment or complaint about NARAs services and products
Instructions: Please select the topic of your message

Instructions: Please type your message in the box below
Please be as specific as possible. Details help us to understand and address your concerns.
Would you like a response to your comment? Yes No
If yes, please provide your contact information. If no, click the Review Your Entries button below.

 

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Contact Information
Instructions: If you would like to receive a reply, please provide the following information

First Name
Last Name
Your E-mail Address
Instructions: If you are requesting forms, or if you require a response for any other reason, please also provide the following:
No. & Street
Street (line 2)
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Instructions: Are there other ways to reach you?
Daytime Phone Number
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Per D:media Web Site Privacy Statement, we do not provide personal data about our clients to any other parties without permission. D:media only uses the information submitted by clients in this form to reply to their requests for cd-roms or information about our products and services, or to forward their request to the appropriate D:media associate for reply. The information is destroyed after this purpose has been fulfilled.

DMD Form 654774
(6-03)
 
 
 

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