SMCC MEMO

E-Mail Request Form

Entries marked with * are required fields.

First Name: *

Last Name: *

Date:

Would you like to have an SMC MEMO (email) account?

If yes, we need the following information to create your account:

Yes

Department:

Job Title:

Phone:

Date of Birth: *

Employee ID or Enterprise ID: *

Do you already have an e-mail account?

Yes

If yes, please enter that e-mail address here:

Do you need training on Web Mail?

Yes

Note: Completed form will be mail to: Mike Kamolz in College Technology Services.

If you do not know your Employee ID or Enterprise ID, please call 602.243.8200.

7050 South 24th Street - Phoenix, Arizona 85042

Phone: 602.243.8000 Fax: 602.243.8329 TDD: 602.245.5727