REQN No.: |
*
|
Existing WSU Contract No.: |
|
Org Unit No.: |
|
Department Name: |
*
|
|
Physical location of equipment.
|
Unit Name: |
*
|
Building and Room #: |
*
|
City: |
*
|
State: |
|
Zip Code: |
*
|
Technical Contact Name: |
*
|
Technical Contact email: |
|
Phone Number: |
|
Fax Number: |
|
|
Contract Information.
|
Contract Type: |
|
Contract Action: |
|
Contract Length: |
|
Contract Monthly Rate: |
*
|
Per copy rate-black & white: |
|
Per copy rate-color: |
|
|
Equipment Information.
|
Equipment Vendor Name: |
*
|
Equipment Brand: |
*
|
Equipment Model: |
*
|
Serial No.of existing: |
|
|
Comments: |
|