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Software Installation Service Request


Items indicated with red > are required fields and must be entered prior to submitting the service request.  Contact Network and Systems Services if you have any questions or need additional help at 719-549-2566. 

Please complete the form and submit it.  Send original manuals or technical documentaion, the original diskette(s), CD-Rom(s) and/or DVD-Roms(s) and Proof of Purchase to Information Technology Services - Network and Systems Services.  (Proof of Purchase can be a purchase order, Site License Agreement Form, receipt, letter of licensure from software vendor, etc.  Subscription Proof of Purchase required for initial installations and renewals.)

Please allow a minimum of thirty (30) working days lead-time before the requested software is available.

Requested By
  Name:
  Telephone Number:  -  -   (Example: 719-549-2100 or 2100)
  E-Mail:
  Department:

Software
  Title:
    Vendor:
    Vendor Contact  
Name:
    Telephone Number:  -  -  (Example: 719-549-2100 or 2100)
  Number of Licenses/Seats to be Installed:
  License Duration:
      

Requested Date/Location
   
  Requested Installation Date:  /  /  (Example: mm/dd/yyyy)
Lab(s) Location(s):
 
   
  Requested Installation Date:  /  /  (Example: mm/dd/yyyy)
User(s) Names:

Additional Comments
 
  Narrative: