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New Site License Request Form

If there's a software product that you think would be of benefit to the entire univerisity, please fill in this
request form and I'll check it out!

Please fill in all fields. Thank you!

Your Name:
Your Email
Your Department:
Your Phone #

Software Title
Manufacturer
Contact Name
Contact Phone #
Contact Email
Website

Can you suggest a proposed funding source:
How many users would you
anticipate for this product?

Thank you!