Washington State University Copier Equipment Contract
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:


Clicking "Submit" will submit and prepare the form for printing. You must include the printed copy with requisition.