Submitted by Lisa Nichols on Tue, 19 Jun 2018 at 5:22 pm Accounting Information Billing Contact Full Name * Billing Contact Email * Purchase Order * Please provide PO for estimated facility usage. Email electronic copy of PO to nozaki@stanford.edu Purchase Order Amount * PO in the amount of 6 months estimated usage is recommended; $2500 minimum (Invoicing will be done with actual usage). See Rates and Fees page SUNet Application Information Last Name * First Name * MIddle Name Alternate Last Name, If any Gender Birthdate * Year Year1935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Phone * Email * Zipcode * Desired Activation date for SUNet ID * Year Year2025 Month MonthMarApr Day Day11121314151617181920212223242526272829303112345678 Company Or non-Stanford University *
