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Planning Unit & Department Name
Contact Information (name, email address & phone number)
Current Billing Account Number (even if your request is for a removal)
Budget Approval Contact Information (name, email address & phone number)
Department IT Contact Information (if applicable)
What service is being requested?
Replace Current Device
Move Current Device to a New Location
Remove Device (without replacing)
New Device (do not currently have one)
Billing Account Number Change (add new billing account number below)
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