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(Please note your form session will expire after 15 minutes.)
Please use this form to submit information for your wireless device that requires registration on the network. This form is only for devices that do not have a browser. IT will review your information and determine if your device meets the requirements of the Network Use Policy.
Please allow up to a week for review.
When you have finished, please click 'Submit' below.
First name:
Last name:
Email address:
Type of device:
Manufacturer:
MAC address of device: (e.g., AA:BB:CC:11:22:33)
Please give a brief explanation of what this device is and how you plan to use it on the wireless network: