Name(Required)

First Last

Email(Required)

Title

Phone Number(Required)

Department Reuqesting(Required)

Which best describes your needs(Required)

Replace an existing device

Request a new device (not a replacement)

Request my device be added to the MPS program's services

Add Papercut to an existing device so it can be shared

I would like a print environment assessment for my department

Where is / would the device be located?(Required)

Building Name Street Address Suite, Floor, Room Number

Approximate Number of Users(Required)

Does the device need Papercut?(Does Device need to be shared among departments, TA's graduate or undergrand students?) See explanation of Papercut above for details(Required)

No - This is a department only / private use device

Yes - I'm interested in Papercut

What is Papercut?

What are the existing device ID #(s) or serial #(s)?

List all ID numbers / Serial numbers separated by a comma. Will either be the ID on the silver Pacific Office Automation sticker on your existing device POA device or the serial number of devices not currently covered by POA. If not applicable fill box with N/A.

Needed Equipment features(Required)

Black and White output

Color output

Printing

Copying

Scanning

Faxing

I'm not sure and would like help deciding

N/A

Is there anything your current device can't do that you wish it did?

Additional Comments

‎‎ ‎ ‎ ‎‎ ‎ ‎ ‎‎ ‎ ‎ MPS Program 3R‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎‎ ‎ ‎ ‎‎ ‎ ‎ ‎‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎‎ ‎ ‎ ‎ Request, Review, Replace

What is Papercut?