Computer Registration Form

RLL COMPUTER
Information Form

Please use the <TAB> key to move within the form. Do not press <RETURN> until you are ready to submit this form.

1) Computer assigned to (last name):

2) Location of computer (office #):

3) Date purchased (MO/DA/YR):

4) Type
IBM/Lenovo
Apple/Mac
Other brand:

5) Serial number:

6) FASCS tag?
Yes
No
n/a

7) TAG # (5 digit)

8) Comments (include computer description):

Thanks for submitting this info.