|First and Last Name|
|Full Valid BGSU Email Address (e.g. firstname.lastname@example.org)|
|Phone Number (for contact purposes)|
|Will this System Replace an existing system?||Yes No |
What will the new machine be used for?
Asset number of machine to be replaced:
|If you are ordering a system for a new Staff/Instructor/Faculty member, please use this form instead.|
|What source is used for funding?|| |
|List other system specific information below, these specs can be located here, or from the page from one of the vendor sites that includes the system specific specs and price. |
|Equipment Specifications for accessories only:|
When your request is processed, you will receive a quote that includes a detailed product specification sheet, including current pricing information, for the equipment requested.