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Welcome
Department
Subject
YOUR Full Name
YOUR Email
Is this for a current employee, new hire, promotion or a store?
First and Last Name of User (if for a store enter 6-digit store ID)
Is this for New Equipment or a Replacement?
Type of Hardware Requested (check all that apply)
Laptop
Charger (specify in notes)
Company Cell Phone
Team Lyders Email
Docking Station
Monitor
Scanner
Zenput Tablet
Learning Zone Laptop
Envysion System
Printer
Desktop
Cradlepoint
Intel NUC
Webcam
Other
Shipping or Delivery Instructions
iPhone or Android (if applicable)
Area Code for Work Phone (if applicable)
Start Date and Position: (if applicable)
Distribution Mail Groups
What Mailbox or Distrubtion Groups Does the User need access to?
Personal Email for DocuSign
Please list the user's personal email for any documents that need to be signed.
Additional Comments
If replacement hardware is requested, please note the issue with the device.
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