Use this form to request all computer equipment and software. Complete the form and press submit for each of the items you wish to request. Please answer all questions so that we will be able to meet your computing needs in a timely and accurate mann er. If you have questions please feel free to contact EIR or Systems.

• My name is
• I am requesting a Computer a Printer Software Other
• Describe the requested equipment or software.
  
• Who will be the primary user(s) of the requested equipment or software?
  
• Please briefly the primary functions this item will preform (e.g. telneting to JACLIN and word processing).
  
• If requesting equipment, what piece of equipment (if any) will this request replace?
  

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