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Customize Computer Install / Upgrade / ReImage Questionnaire: 1157Monroe04

Name of your current computer


What is the ticket # for your install, if known?


Who is the primary user?

Cindi Percifield

What is the primary user's Purdue Career Account username?


What is the primary user's phone number?




Contact's Phone


What department are you with? (Campus users only)






What county, district, or farm are you with? (County users only)


Are there any additional users?


Do you have a local account (non-domain) on this machine? If so, please list the username


Will you need any additional software installed?


Will there be any hardware or equipment connected to this machine?

Wireless mouse
wireless keyboard
1157monroeCP1 on 1157monroe
1157monroeHP1 on 1157monroe
1157monroeEP1 on 1157monroe
hp deskjet 960c
HP Laserjet 4050 Series PCL6
Microsoft Office Document Image Writer
Ouickbooks PDF Converter
Microsoft XPS Document Writer
Send to Onenote 2007

What network printers are or will be connected to this machine?


Do you save data anywhere else besides the following:

P: Drive (County)

Is there anything else you want AgIT to know?

The printers listed above are the printers that we use.


Created at 12/20/2012 2:22 PM by Moore, Marilyn
Last modified at 12/20/2012 2:22 PM by Moore, Marilyn