University of Utah
Health Sciences Center
College of Pharmacy


College of Pharmacy
30 South 2000 East
SLC, UT 84112-5820
phone: 801-581-6731
fax: 801-581-3716

PharmD.Admissions
@pharm.utah.edu

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CPCSS - Laptop Computer Reservation

- Disclaimer -
Submission of this form does not guarantee that the computer has been reserved. Once received, we will email you back a confirmation or denial.
*
Faculty/Staff Student
* Name:
Dept:
* Phone:
* Email :
* Supervisor:

* Sup. Phone:

* Computer Type:
* Zip Drive:
Yes No
* Location of use:
* Date Needed:
* Pickup Time:
* Return Time:

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University of Utah Health Sciences Center
50 North Medical Drive, Salt Lake City, Utah 84132
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