IVC Equipment Needs

• IVC Equipment Package/Other Room Requests (select one): NEW Origination Room - Complex Classroom Equipment NEW Receive Room - Simple Classroom EquipmenRoom modifications -- existing siteRoom move -- existing siteNot sure

Organization Information

• School/Institution:
• District (if applicable):
• Address

• City

  Zip

Administrator Information (Responsible for Initiating P.O. for Equipment Orders)

• Name:
• Email:
• Phone Number:

IT Contact Informaton

• Name:
• Email:
• Phone Number:

Construction/Reconstruction of Proposed IVC Facility

• New School:
• Proposed Completion Date:
• Existing School:
• Special Requirements:
• Requested Install Date:

Checklist:

• IVC Process Outline (pdf)

Verification Code:

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