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Wireless Access Request Form

-Utilize this form for guest access to UNC's wireless network.

-Upon submitting this form please contact:
Technical Support Center @ 351-4357

CLIENT INFORMATION

Client First Name:

Client Last Name:

CONTACT INFORMATION

Client Telephone Number:

ACCOUNT REQUEST INFORMATION

Type of Network Access Requested:

How many days do you need this account?:

CAMPUS AFFILIATION

List the name, email and telephone number for the faculty/staff member or department you are working with:

Name of person submitting this form:

Page Content & Design - IT Web Committee : Date Last Modified: April 11, 2008