Network Switch License Request Form
Please complete all fields to request a network switch license.
Full Name
*
First Name
Last Name
Department
*
Please Select
IT
Network Operations
Security
Engineering
Other
Work Email Address
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Switch Model
*
Please Select
Cisco Catalyst 9300
Cisco Nexus 9000
Arista 7050X
Juniper EX4300
Other
License Type
*
Perpetual
Subscription (Annual)
Trial
Number of Licenses Requested
*
Location for License Deployment
*
Please Select
Data Center 1
Data Center 2
Main Office
Remote Site
Other
Reason for License Request
*
Requested Fulfillment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Urgency Level
*
Low
Medium
High
Submit Request
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