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.


Requester Information


First Name:   Last Name:

Email (lowercase):


Office Phone:

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


Note: Must be University server

Email Recipient Information

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

Comments/Additional Information:


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