Dialup Account Request


Please fill out all of the information in the form below and click on the SUBMIT button. Your request will be processed and you will be notified via email when your dialup account is ready.



Full Name:
LAN Account Name:
Department or Major:
Current Status:
School:
Graduation Date:
Operating System: Windows 3.1 or 3.11
Windows 95
Macintosh
Check the operating system that you are using on the computer from which you plan to use your dialup account.
Comments:

us your request for processing ...

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