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Software Title(Required)

Device Type(Required)

Device Name(Required)

Device Location(Required)

Building and Room Number(Required)

Additional Details(Required)

Printer Building and Room Number(Required)

Printer Name(Required)

Device You Are Trying To Print From

Issue Details(Required)

What can we help you with?(Required)

Email List(Required)

Email List Type(Required)

Discussion Email List

A Discussion Email List is a means of facilitating discussion for a group of people with similar interests.

Who can post: Group Members
Moderation: No moderation
Post replies to: Sender chooses recipient

Discussion Email List

A Discussion Email List is a means of facilitating discussion for a group of people with similar interests.

Who can post: Group Members
Moderation: No moderation
Post replies to: Sender chooses recipient

Membership Criteria(Required)

Justification(Required)

Agree(Required)

I understand email lists are automatically generated by criteria matching and I may not request individuals be added or removed.

Proposed Pickup Date(Required)

Proposed Return Date(Required)

Loaner Device Location(Required)

Building and Room Number(Required)

Agree(Required)

I understand that this is a loaner device and that the device may not be checked out to me for more than 30 days. I will not have administrative rights or any ability to make changes to this system.

Justification(Required)

Resource(s) Requested(Required)

Wireless Presenter (Clicker)

Projector

Projector Screen

iPad w/ Cellular Service

USB Camera

Meeting Owl

Cisco Speakerphone

PA Speaker System

Pickup Date(Required)

Pickup Time

Return Date(Required)

Return Time

If you need this to be placed in a room for the time you need it, please specifiy which room here.

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