UACES Facebook Computer Order Request Form

Computer Order Request Form

(One order per form)

   
Date:   07/22/2018

 

 

 

   
Are you requesting this computer for someone else?  
   
Your Full Name:
   
Your Email:

Recipient Information

   
First Name: Last Name:
   
Title:  
 
   
Phone#: Email Address:
   
Work Location:  
 
   
Fund#: Org#:
   
Recipient's Supervisor Name: Recipient's Supervisor Email:
   

 

 

Preferred Computer Type

 

 

Dell Desktop

(Comes with 24" monitor, keyboard, mouse)

Dell Laptop

 Docking Station (Comes with one 24" monitor, keyboard, mouse)

Microsoft Surface

 Docking Station (Comes with one 24" monitor, keyboard, mouse)

Dell All-In-One (AIO)

(Comes with keyboard and mouse)

Apple iMac

Apple MacBook Pro

 

 

Any Special Needs or Requests?




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