Server Co-Location Service Request
Information Technology Services
2225 E. San Ramon MF93
Fresno, CA
93740
Phone: 559-278-3923
Fax: 559-278-4660
www.csufresno.edu/its
Last Name First Name Middle Initial Fresno State email userid
Department Name Campus Extension
Additional Comments: (Please include any Special considerations Ex. DNS, Network Provisioning, ACL)
Authorized Access List
Number of 1/2 Racks ($1,200.00) Number of Full Racks ($2,000.00)
Rack Configuration
Date of Request
New Request Change Request
Additional Configuration
Co-Location Adminstrator Date:
Department Authorization Date:
603165
ACCOUNT FUND ORG ID PROGRAM CLASS BY
PeopleSoft Account to be charged
1/2 Rack/Full Rack #
Additional Gigabit Ethernet
Ports
Additional 10/100 Ethernet
Ports
Additional
Power
KVM Switch Estimate
Total Cost Estimate