UCO Web Account Request

Web Account Request Form
Web Account Guidelines

Site Account Information
Please select the account type you are requesting: Help!
Please select the account category: Help!
Descriptive name of site: Help!
Organizational Area: Help!
Requested or Active URL: Help!
Please select the tool is used to develop and publish the web site: Help! Description of Other tool:
Will the site use any of the following advanced elements: Help!
ASP PERL SSI FPX OTHER
Description of other advanced tool:

Developer Account Information
First Name:	Last Name:
UCO Username: Help!	UCO ID: Help!
Position: Help!	Campus Box Number:
Email:	Alternate Email:
Phone Number:	Alternate Phone Number:
Is the developer a contracting third party? No Yes Help!

For Student Organization and Contracting Party Accounts, please complete the following: Help!
Sponsor First Name:	Sponsor Last Name:
Sponsor Email:	Sponsor Phone:
Campus Box Number:

For Contracting Party Accounts, please complete the following: Help!
Company Name:
Company Address:
Company City:	Company State: Company Zip:
Manager First Name:	Manager Last Name:
Manager Email:	Manager Phone:
Manager Title:

Requestor Information and Additional Comments
Requestor First Name:	Requestor Last Name:
Requestor Email:	Requestor Phone:

Please add any additional information that you find important...

Page updated: 12 Apr 2005 04:40:08 PM -0500

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