Request for Form Mail

Faculty/Staff and student groups only

By completing and submitting this form you are making a request to register an email address to receive data from a web-based form.

Instructions

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Requester Information

NetID:

First Name:   Last Name:

Email (lowercase):

Department:

Office Phone:

URL (web address) of HTML page which will use the Form Mail service:

(e.g. http://www.albany.edu/its/web/webmaster_script.html)

Note: Must be University server

Email Recipient Information

Email (lowercase - Leave blank if same as requester email):

Comments/Additional Information:

IMPORTANT:

Before submitting your request, please select "Real request" from this drop-down menu (This allows the request to get past the spam filter).

> -SPAM- Real request