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Technology Purchase Request Form
for Hardware Peripherals

Name: (Please supply both first and last name)  
Email Address  
On Campus Phone #  
College of:

 
Department:  
Purchase Type:

 
   
Who the equipment is going to if different than above (Please supply both first and last name):  
Purpose of equipment:  

*new = does not currently have a computer, replacement = currently has computer
*** Prices may vary with shipping costs ***
 
Local DeskJet Printer Network Department LaserJet

HP Color 6540 

$129.00

HP Black & White 4250N

 $1249.00
Black High Capacity Ink Cartridge $33.00 Black High Capacity Toner $224.00
Tri-Color High Cap Ink Cartridge $37.00 Maintenance Kit $300.00
USB Cable $8.00 Additional options are available for this printer
   
Local LaserJet Printer  

HP Black & White 1320

 $384.00  
   
Network Department Color LaserJet Color Multifunction & All I One
  * IT only supports local scanning and network printing features

HP Color LaserJet 3600N

 $699.00

HP OfficeJet 7210 MFP

 $299.00
Black Toner Cartridge $130.00 Black High Capacity Ink Cartridge $33.00
Cyan Toner Cartridge $131.00 Tri-Color High Cap Ink Cartridge $37.00
Yellow Toner Cartridge $131.00 USB Cable $8.00
Magenta Toner Cartridge $131.00 Duplexer with Small Paper Tray $96.00
   
Dell Axim PDA Scanners

Dell Axim X51 520MHz

$515.00

HP ScanJet 5590

$299.00
 

HP ScanJet 4890

$199.00
 

HP ScanJet 4850

$149.00
       
Other Hardware Requested from the IT supported List

 

 
St. Ambrose University 518 West Locust Street, Davenport, IA 52803
563/333-6000 or 800/383-2627
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