EmailMe Form - Microsoft 365 Authorization and Procurement

Company Name *

Your Phone Number:

### - ### - ####

Requested by: (Your Name) *

Your Email Address: *

Microsoft 365 - Applications

Checkbox

$ 6.00 Microsoft 365 Business Basic

$13.50 Microsoft 365 Business Standard

$15.00 Microsoft 365 Business Standard (Month to Month)

$20.00 Microsoft 365 Business Premium

Enter Employee Contact Information Below:

First Name: *

Last Name: *

Job Title *

Department

Desired Email Address:

Office Phone:

### - ### - ####

Cell Phone: *

### - ### - ####

If the user has an existing account do you want to upgrade the license? *

Yes

No

Reason for this Status Change *

Special Instructions

Enter things like: User needs to be included in the following distribution groups: Staff, Admin, Accounting. Other entries include: Configure the _______ computer for this user.

Authorization to Purchase

I authorize Computers, Networks and Support to make the aforementioned changes to my Microsoft Account.