New PC/Workstation Request

Please Provide us the full name of the person whom is getting this PC/Workstation *

First

Last

User Type *

Unit Type *

Are we replacing an existing workstation? List the software titles you would like for us to transfer over to the new Workstation. Please let us know what you’d like to do with the former workstation.

Number of LCD displays to include with this order (0 for client provided)

If you are re-using LCD displays, please tell us about them. Make/Model and connection type?

Port/connectivity requirements (check all that apply)

Please list the software titles you would like to upgrade (purchase) to the latest version and have them installed onto the new workstation. (ie Microsoft Office, AutoCAD, etc.)

Other requirements

Requestor information *

First

Last

Company

Phone

email address