CRU - Job Intake

Ticket #:
* Intake Tech:	Other Tech Sean Thomas Blake Thoennes Mathew Schwieger Simon Batterberry-Hecimovich Sterling Schwieger Cole Selix
Intake:
Name:
Address:
Address 2:
City:
State:
ZIP Code:
* Phone #:
* Email:
* Short Desc:
* Full Problem/Project Description:

Priority:	Critical	Urgent
Normal	Low	Very Low

Impact      :

High

Medium

Low

Urgency   :

High

Medium

Low

Device Type:

Desktop

Laptop

Service

Other:

* Device Description (Brand, Model etc.):

* Serial #:

* Password:

Signature:

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