* denotes a required field.

This is a: UB Owned Computer Privately Owned Computer *

Note: If you don't know, or need to know, the difference between a static IP address and a dynamic IP address, you can probably skip the rest of this paragraph. By default, your computer or other device will get any available network address, using a system called "DHCP", and this is fine for most purposes. If, however, your device absolutely requires a network address that does not change (this is mostly needed for printers and servers), please check this box and we will assign it a static IP address:

Requested Machine Name: *

Installation site: *
Room: Building: Bell Bonner Davis Furnas Jarvis Ketter Cooke Dorsheimer Fronczak Hochstetter Mathematics Natural Sciences Complex Capen Center For The Arts Clemens Crofts Norton Statler Commissary Biomedical Research Kimball Sherman Veteran's Administration OTHER (Please specify):
If the building isn't listed, select "OTHER" and type the name here. Otherwise, leave this box empty:

System Manufacturer: Acer Apple Dell Hewlett Packard IBM Sony Toshiba Other IBM Compatible OTHER *

Model: *

CPU type: AMD K6/K6-2 AMD Athlon AMD Athlon XP AMD Athlon 64 AMD Athlon Neo AMD Duron AMD Sempron AMD Turion AMD Opteron Apple/IBM/Motorola PowerPC G3 Apple/IBM/Motorola PowerPC G4 Apple/IBM/Motorola PowerPC G5 ARM/StrongARM Intel 486 Intel Pentium Intel Pentium Pro Intel Pentium MMX Intel Pentium II Intel Pentium III Intel Pentium III Xeon Intel Pentium 4 Intel Pentium 4 EE Intel Pentium 4 Xeon Intel Pentium M Intel Pentium D Intel Pentium Centrino D Intel Celeron Intel Celeron D Intel Centrino Intel Centrino Duo Intel Centrino Pro Intel Atom Intel Xeon Intel Xeon MP Intel Dual-Core Xeon Intel Quad-Core Xeon Intel Core Solo Intel Core Duo Intel Core 2 Intel Core 2 Duo Intel Core 2 Quad Intel Core 2 Extreme Intel Core i3 Intel Core i5 Intel Core i7 Intel Itanium Intel Itanium 2 Intel x86-64 SGI MIPS 2000 SGI MIPS 3000 SGI MIPS 4000 SGI MIPS 5000 SGI MIPS 8000 SGI MIPS 10000 SGI MIPS 12000 Sun SPARC sun4 Sun SPARC sun4c Sun SPARC sun4d Sun SPARC sun4m Sun SPARC sun4u PA-RISC 8500 PA-RISC 8700 DEC Alpha Motorola 680x0 JavaStation Via Nano VM OTHER

Operating System: Mac OS 9.x or less Mac OS X iOS (iPhone, iPod Touch, iPad) Microsoft Windows 2000 Pro Microsoft Windows 2000 Server Microsoft Windows XP Home Microsoft Windows XP Professional Microsoft Windows XP Media Center Microsoft Windows 2003 Server Microsoft Windows Vista Home Basic Microsoft Windows Vista Home Premium Microsoft Windows Vista Business Microsoft Windows Vista Enterprise Microsoft Windows Vista Ultimate Microsoft Windows 7 Home Basic Microsoft Windows 7 Home Premium Microsoft Windows 7 Professional Microsoft Windows 7 Enterprise Microsoft Windows 7 Ultimate Unix (any dialect) Red Hat Enterprise Linux Linux (any dialect except Red Hat Enterprise) VMWare ESX VMWare ESXi OTHER *

System Serial Number: *

Physical Ethernet (MAC) Address — Please enter the Ethernet address with colons (:), dashes (-), or spaces separating the six hex numbers. Example: 00:08:0C:AF:E0:00 * [NOTE: If you do not know how to determine your computer's Ethernet address, click here or scroll to the bottom of this page for instructions.]

Owner's Name, or person you are working for: *

Owner's UBitname *

Owner's Department: Biology Chemistry Engineering Geology Mathematics NYSCEDII Physics SENS *

Owner's Office Address: *

Owner's Office Phone Number: *

Requestor's Email Address: *

Please check this box if you need any assistance to install this system.

Any additional comments or instructions may be entered here: