IT Services-iprosperity Service Request
By Akin Merennage (Iprosperity Group)
Name
First Name
Last Name
E-mail
example@example.com
Phone Number
-
Ext no.
Phone Number
Date
-
Month
-
Day
Year
Date Picker Icon
PC
MAC
WIN SERVER
MAC SERVER
EMAIL
SMARTPHONE
PRINTER
DESK PHONE
Monitor
Other
Description of new/existing employee e.g. Name,reason of purchase
Will the equipment
Be Purchased by iProsperity (will access private network
or Personally purchased (will access secured public network)
Enter the message as it's shown
*
Upload a File
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of
Submit
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