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, $40*
Design & Media, $40*

Comments (optional):

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)