New User Request Form

(336) 618-7137

support@mygeeknc.com

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New User Submission Form

"*" indicates required fields

Your Information

Your Name*

First Last

It's important to know who the new user request has come from,we will get the name of the employee later.

Your Email Address*

Helpful for being able to reply to you if we need to follow up on anything.

Your Company Name*

Please enter your company name in full

Employees Information

Employees Name*

First Middle Last

We ask for the middle name in case we run into duplicate accounts, in which the middle initial will be used.

Preferred Email Address

If you have a preferred email address in mind, please write this below (not required as we will use your IT standard if left blank

Workstation*

Yes

Do you need to purchase a new workstation for this user? Please Note: By selecting yes, we will send over an invoice for a new workstation.

Workstation Type

Desktop

Laptop

Laptop with Docking Station

What kind of workstation does this user need?

Desktop Monitors

None

How many monitors are needed to be purchased?

Laptop with Docking Station Monitors

None

How many monitors are needed to be purchased?

Employee Department

Please enter the Department where the new employee will be working - if applicable. This will help us determine what they will need access to.

Managers Name

First Last

Please enter the Manager's Name of the new employee - if applicable

Additional Notes

Please use this section to add any additional information you feel might be helpful. For example, any drive mappings they may need in addition to the defaults.

Start Date*

MM slash DD slash YYYY

Please enter the start date for the new user.

Comments

This field is for validation purposes and should be left unchanged.

We're the IT people you'd want to have a beer with. Seriously, we are geeks but we also take a personable approach to technology.

New User Submission Form

Your Information

Employees Information

Services

Company

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