Patriot Tech Departmental Quote Request

Patriot Tech Departmental Quote Request

Submission of this form is a quote request only and does not reserve inventory or authorize an order. Proposed quotes will generally include the device, applicable 3-year warranty or AppleCare option, and asset tagging where supported.
I am a

This form is for departmental use only.
For personal devices, please visit the Patriot Tech online store.

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Request Information
Requestor Name
Department / Unit
Requestor Email

Confirmation EmailNetID@gmu.edu
Requestor Phone
Please enter a valid phone number.Format: (000) 000-0000.
Is this device quote for you or someone else?
End User Name
End User Email

Confirmation EmailNetID@gmu.edu
Needed by Date

MonthDayYear
Payment Method
Delivery Method
Select Campus Store Location
Orders are processed via eVA Purchase Order only. We are unable to accept P-Card payments at this time. We appreciate your understanding.
Campus Store Shipping Address
Shipping Information
Ship-To Contact Name
Ship-To Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Ship-To Contact Email

Confirmation EmailNetID@gmu.edu
Building Name
On-Campus Mail Stop #
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Device Request Details
Please use dropdown selections for most fields. Select the closest available option. If the item or specification needed is not listed, select Other / Not Sure and include details in the Notes field.

For unique requirements, research devices, alternate manufacturers, or special configurations, the Patriot Tech team may coordinate with GMU stakeholders before providing a quote.
Device Requests
Should be Empty:

This form is for departmental use only.