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Computer Labs Request for Refund
Name
*
900 #
*
Date of malfunction
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
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31
Year
Year
2022
2023
2024
2025
2026
Time of malfunction
*
Hour
hour
1
2
3
4
5
6
7
8
9
10
11
12
:
Minute
minute
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
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18
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57
58
59
am
pm
Printer location (Building/Room No)
*
Number of sheets in job
*
Refund amount requested
*
Description of problem
*
EKU email address
*
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