* 1. Campus Name

* 2. First Name

* 3. Last Name

* 4. Email Address

* 5. Phone Number (XXX-XXX-XXXX)

* 6. Will you need "View Only" access? If yes, enter NA or No in the fields for the remaining questions
"View Only" access will restrict you from creating orders within the system

* 7. Shipping Address (Street)

* 8. Shipping Address (Bldg/Room#)

* 9. Shipping Address (City)

* 10. Shipping Address (State)

* 11. Shipping Address (Zip Code)

* 12. Do you pay by purchase card/credit card?

* 13. Billing Address (Street)

* 14. Billing Address (City)

* 15. Billing Address (State)

* 16. Billing Address (Zip Code)

* 17. Do you use Cost Centers?

* 18. Do you have an approver?

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