This form is to request setup repair or
troubleshooting for equipment such as SE Tables, data projectors, digital cameras, etc for Graceland
University students, faculty and staff. Please fill out the following form or contact
Cliff Neeley (5496) or sta@graceland.edu
to request repair or troubleshooting.
Your name:
ID Number
Email address:
Phone No
Repair Location
Date of Occurrence
Date Needed by
Type
Other
Special Instruction
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