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New Data Jack Installation Request

Purpose: Contacting the Networking unit of the Department of Information Technology at Valdosta State Univeristy about new data jack installation requests.

Required Fields (marked in red): Your Name, Phone Number, E-mail Address, Building Name and Room Number, Department Name, Department Head Name, Deparment Head Email, Account Number, and Security Image.

Contact Name:
Phone Number:
Contact Email :
Building name and room number where jack(s) needs to be installed:
Department Name that will be responsible for the installation charges:
Department Head Name:
Department Head Email:
  Accounting Information
Note: estimated charge is $125.00 per data jack. Departments will only be charged for materials used, which usually comes in at less than $125.00.
Account (6 digits):
Fund (5 digits):
Department (8 digits):
Program (5 digits):
Class (5 digits):
Comments:
Security Image: