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Data Entry User:
Campus Name:
Campus Address:
Campus Building:

Type of Equipment (Select one)
Monitor
Printer
Keyboard
HardDrive

Location of Room (Select one)
BI-221
BI-222

Operating System Type (Select one)
Window XP:
Window 98:
Window NT:

Type of Ports (check any that apply)
Video:
RJ45:
USB:
Parallel:
Serial:

Additional Sofware Installed: