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U of I Faculty and Staff
Apply for a New Account
Paradigm
Department Information:
Department: Room number/building:
Street address:
City:
State:
Zip:
Office Contact Information:
First name: 
Last name: 
Phone: 
E-mail: 
Accounts Payable:
First name: 
Last name: 
Phone: 
E-mail: 
Purchase Order Number:
Purchase order number: 
Daily pick-up and delivery needed?  yes   no
Web submission of copy jobs?  yes   no
Access to self-service copiers needed?  yes   no
Persons authorized to use account: 
Other limitations on account: 
Additional instructions or requests: