Contact Information
Contact Name:
Email:
Department:
Building:
Room:
Contact Phone:
Chart String to be charged:
Authorized signer for this account:
Service Requested:

spacer

New Network Connection Activation
Ethernet
Other - please include explanation in comments section below

Number of new connections needed:
Building:
Room(s):
Faceplate Number(s):

Active Network Connection Move:
Circuit Number:
Current Location (Building/Room/Faceplate #):
New Location (Building/Room/Faceplate #):

Wireless Access Point(s) - Site Survey is required:
Building:
Room(s):

Comments:

See the Network & Wiring Services web site if you have any questions or to see the scheduling policy. If you still have questions, call Mindi Stoffel at x5197.