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Integrated Client Services & Support
1307 East 60th Street
Chicago, IL 60637
29100@uchicago.edu
Phone: 773-702-9100

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Request for One-FAX Service

Complete this request for One-FAX service and submit. Make sure to fill in all required (*) fields. If you have any questions, please contact Integrated Client Services & Support at 2-9100, Option 4.

Contact Information:
Name:* Date:
Department:* Telephone #:*
Email Address:* Account #:*

(omit dashes)
Authorized Signer:* Authorized Signer Email:*
Address: Room #:
User Information:
User information is the same as Contact Information, above.
User Name:* Telephone #:*
Default Email Address: Room #:

FAX-to email Information:
UChicago Fax-to email address:* Must include a valid University of Chicago or Affiliate email address or mailing list.

Please enter any specific comments below:




 Please verify the above information before pressing the submit button.

 

Last updated: 12/10/07