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<Request For Data Jack Activation>
http://itusupport.gmu.edu | 703-993-8870

Purpose - This form is used to request ONLY DATA jack activations, for Telephone jack activations contact Telecom Admin at (703)993-3546.

Instructions - PLEASE READ - Please fill-in this form online. Submitting the completed form will generate a ticket. This form may only be used by faculty and staff members.

All areas with asterisks (*) are required.

Requested Due Date ,

Special Considerations/Comments

User Information

Name:*
Entire GMU E-mail Address:*
Department:*
Phone Number:*

Jack Information

Building:*
Room: *
Jack #:*
Will the jack process Credit Cards:*

If part of move provide move date:

1*
No
2
No
3
No
4
No
5
No

Click so that a ticket can be created. Use this button to .

Updated September 24, 2009