Request for Prepaid Departmental Copy Card
|
Please fill out this form to receive a departmental
photocopy card. This card will enable you to use the card-operated photocopiers in Kent Library at the copiers in the Periodicals section. Departmental Copy Cards are for use in official University business only. |
||
| Please complete this form and return it to the Information Technology Help Desk located on the bottom floor of Academic Hall (Room 140). Also, cards may be picked up at the Help Desk. | ||
| Name of Department: | ______________________________ | |
| Number of cards requested: ( $2.50 per card ) |
______________________________ | |
| Total for cards purchased: | ______________________________ | |
| Number of copies per card: ( $0.10 per copy ) |
______________________________ | |
| Total amount including cards and copies: | ______________________________ | |
| Bill to account number: | ______________________________ | |
| Authorized Signature: | ______________________________ | |
| Card(s) Received by: | ______________________________ | |
| Date: | ______________________________ | |