I've already seen a number of Duo Queue Request threads popping up on the forums, so I thought it was a good idea to make an official format we can use that gives all of the information needed and doesn't leave anyone with any questions.

Duo Queue Request Template
Server:
Tier:
Division:
Main Tier/Division:
Lowest rank I am willing to duo queue with:
Highest rank I am willing to duo queue with:
Role(s) I am looking for in a Duo Queue:
Contact Me: 

Example Request
Server: EUW
Tier: Diamond
Division: 5
Main Tier/Division: Diamond 5
Lowest rank I am willing to duo queue with: Platinum 3
Highest rank I am willing to duo queue with: Diamond 2
Role(s) I am looking for in a Duo Queue: Support, Mid, or Top
Contact Me: Private Message Me

Server: EUNE
Tier: Diamond
Division: 5
Main Tier/Division: Diamond 5
Lowest rank I am willing to duo queue with: Diamond 5
Highest rank I am willing to duo queue with: Diamond 5+
Role(s) I am looking for in a Duo Queue: Any. Prefer adc
Contact Me: xVolcanO in-game name

server : eune
tier: platinum
division: 5
main tier/division: platinum 5 
Lowest rank I am willing to duo queue with: gold 2
Highest rank I am willing to duo queue with: platinum 1
Role(s) I am looking for in a Duo Queue: Everything
Contact Me: just pm me here and we discuss it after from skype