Service Request Form

MedIT name/Serial #/Model/Description
Required for all requests related to non-administrative computers


Select the services that you would like performed.

Please specify any details or list all the software that you would like installed. Note: A license is required before any installation of software.
The amount displayed on the right represents the cost to perform a selected service. Please note that these values do not represent the cost to purchase the item. All software and hardware will need to be purchased separately.
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