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Madison's Technology Request
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* Indicates required question
Last Name, First Name
*
Your answer
Are you a staff or student?
*
Madison Staff
Madison Student
ID Number
*
Your answer
Phone Number (will call with pick up time)
*
Your answer
I need to check out a laptop.
*
Yes
No
I need to check out a hot spot.
*
Yes
No
I need to check out a charger.
*
Yes
No
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