GLC Equipment Request Form to formally request Unlock IT to acquire equipment for GLC. Date: MM slash DD slash YYYY Type of Employee:(Required) New Existing Intern Reason for request:(Required) New Broken / Replacement End of Lifecycle Name:(Required) First Last How would you like to get the device(s):(Required) Pickup Shipped Pickup is at 9911 Woods Drive, Skokie, IL 60077Address: Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone:Email:(Required) Department:(Required)CreativeDigitalEditorialManagementMediaEquipment Purchase Approved by:(Required) Rene Ryan Jason Grey Michelle Jackson Scott Oldham Equipment Requested:(Required) Mac Book Pro Laptop LED Monitor USB-C Adapter Apple Magic Keyboard Apple Magic Mouse Apple USB-C Power Adapter Apple Thunderbolt Cable Reason for request (optional):PhoneThis field is for validation purposes and should be left unchanged.