MEML Deployment Request Please completely fill out the following form. After you have completed the requested information, click the submit button below. You will then receive a thank you page which should be taken as confirmation of receipt. After your request has been reviewed, you will receive a follow-up call or schedule confirmation. Please be aware that your choice of days may not be available, so be sure to provide an alternative request date where requested. Name Organization and/or University Address City State/Province Zip code Phone INCLUDE AREA AND COUNTRY CODE WHEN APPLICABLE Deployment Site Contact Name Address City State/Province Zip code Phone INCLUDE AREA CODE WHEN APPLICABLE Requested Date Requested Date (second choice) Number of Hours/Day Number of Days Number of Expected Visitors/Day Type of Deployment Non-Functional / Tour Demo Build : Hands-on Comments/Questions: For more information regarding the Mobile Electronics Manufacturing Laboratory contact: KEN REID reid@engr.iupui.edu Programs | Announcements | Student Scholarships & Awards | Degrees | Courses | Faculty/Staff Directory | Careers | Online Resources | Community Outreach | Biomedical Electronics Technology | Computer Engineering Technology | Electrical Engineering Technology | Electronics Manufacturing Technology ELECTRICAL & COMPUTER ENGINEERING TECHNOLOGY Purdue School of Engineering and Technology, IUPUI 799 West Michigan Street, ET 209 Indianapolis, IN 46202-5160 Phone: 317.274.2363 Fax: 317.278.0789 For more information regarding ECET contact: et_eet@iupui.edu