Wireless Access Point Registration Information Hostname: IP Address: Wireless Device Type: Access Point Workgroup Bridge Vendor (Make/Model): Serial Number: Will device perform DHCP functions: Yes No If yes, you must register your DHCP server Wireless Service Set (SSID): Wireless Encryption Protocol: Yes No If yes, enter your WEP Key here: AP Center Frequency or Channel: Antenna Type Used: Enclosure Type: PennNet Outlet ID: Network Device: 3-Letter Building Code: Room Number: Physical Location in Room: Local Support Provider Information: Last Name: First Name: Campus Phone: Email address: Organization Contact Information (if different from above) Last Name: First Name: Campus Phone: Email address: Organization Comments: