Requested By
*
Email Address
*
Phone Number
*
Location
*
Bell
Camelback
Central
Corporate
Glendale Dispensary
Glendale Grow
Gilbert
Holbrook
Hub
Marketing
Midtown
Pavilions
Youngtown
Main User of Equipment
For computer, laptop, etc...
Select Item Requested
*
Laptop
Desktop
iPad
Monitor
Label Printer
Receipt Printer
Bar Code Scanner
POS Setup
Other
Software
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Needed by
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Reason for purchase
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