Software Request Form

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Please be as specific as possible when describing the software you need.

Note that for software to be installed in any computer lab the following deadlines need to be met. For software needed Fall semester please request before April 15. For software needed for Spring Semester please request before October 15. And for software needed for Summer please request before march 15.

Name of the software (example: "Delta Graph"):

Version:

Is this an upgrade from a previous version?

How will the software be used? (example: course software for ECO110):

What operating system are you using?

Number of copies (licenses) needed:

Provide manufacturer information (if known): (example of information: Meds Publishing, 888 Valley Dr. San Jose, CA 90514 Phone #800-456-9999 Fax 800-456-8888 Contact Joe Johnson")

Manufacturer:

Address

Phone #:

Fax #:

Contact Person:

Manufacturer's website URL:

Please enter where this software will be installed: example1: Main and Hughes Lab computers and on Dr. Dave Smith's - room LW217 example2: Music Lab computers and Dr. Treble's - room C410 and Dr. Base's - C411 example3: Computers in the Macintosh Lab

When will you need to start using this software? (example: Spring Semester 2006) (note: For personal computers allow 6 weeks from time of request; for software installed on lab computers see the deadlines on the Order Course Software page.)

Any additional Information:

Please provide us with your contact information:

Name:

Phone:

Email:

Enter a valid email address. Example: name@company.com