Network - Port activation

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Requestor Information
First Name:
Last (Family) Name:*
E-mail Address:*
      Note: if you are filling out this form on behalf of someone else, please include your email address in the Optional CC E-mail field.
Optional CC E-mail:
Office Phone:
Office Location:*
Other Phone Number:
Department:*
Type:*
Personal Memo :
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Network - Port activation
MAC:
IP:
Room:*
Faceplate Number or Location:*
Port Number and/or Color:*
Vlan:
Will a phone be connected to this port:* yesno
Comments or Questions:
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