ElementK Account Request

* First Name:

* Last Name:

* UR Email Address:

Department:

Phone:

* UR Affiliation:

The College Medical Center Eastman School Warner School Simon School Advancement Central Administration University IT Other

* Category:

Undergraduate student Graduate student Staff Faculty

Select a Course Package(s):

Office Productivity
($25 if you are not in The College or Advancement)*
Design & Media - limited number available, if this option is selected, please describe your need in the text box below
($25 if you are not in The College or Advancement)*

Ledger number:

Not secure - if you wish you may send a blue 312 requisition to the IT Center, Box 270057, attention ElementK instead.

*prorated in the second half of the academic year (Jan-June)