Data Work Order Request Form Date:______________ User:________________________ Department:_______________ *Room Number:________________ Building:_________________ *Jack Number:________________ Phone Number:_____________ Hardware Information Personal Computer: __ 8088/XT __ 286/386/486/Pent. __ IBM PS/2 Specify Model (50/50z/80/..etc) __________ __ Macintosh Specify Model (SE/SE30/...etc) __________ __ Sun SPARC Specify Model (SLC/SS1/...etc) __________ Operating System Dos Version: __ 3.3 or above __ Windows 3.1 __ Windows95 __ WindowsNT __ IBM OS/2 Other ________________________ Networking Information Need Ethernet Card: __ YES __ NO Ethernet Cards Available: __ 16Bit ISA __ 32Bit PCI/MicroChannel Need Transceiver: __ YES __ NO If Move FROM ____________ TO ____________ DEPARTMENT HEAD SIGNATURE:_____________________________________ ACCOUNT NUMBER:________________________________________________ Additional Instructions:_______________________________________ _______________________________________________________________ _______________________________________________________________ IP ADDRESS: 131.204.____._______ *(Must Have JACK Number or OFFICE Number)