Cellular Service Request

Quick Links to: Blackberry Devices PDA/Smart Phones Accessories Only Form
Monthly Rate Plans: AT&T Nextel Sprint Verizon

*Required

Department Name:	*
Department Number
Monthly FRS Code:	*
One-Time FRS Code:	*
UCONN Branch:
Department Head's Name:
Has the department head authorized this request?	*	Approval is required. By indicating "yes", your department agrees to pay for all charges that pertain to this request.

Subscriber's Name: Name on the phone bill:	*	First: Last:
Subscriber's E-Mail:	*
Subscriber's NETID:	*	(NETID?)

*	(For what purpose will the cell phone be used)

Monthly Rate Plans: (AT&T, Nextel, Sprint, Verizon)
Voice Service:	@ $ / month
Data Service for the Blackberry, PDA and Smart Phones:	@ $ / month
Blackberry Support:	$ 5.00 / month

Prices are subject to change.

If you are ordering Accessories only for an existing service there will be a 10% Telecom Charge.

Updated: 6/28/2007

Vendor:	*	AT&T (Cingular) Nextel Sprint Verizon
Service Requested:	*	New Service Disconnect Service Upgrade Service Plan only Upgrade Phone only Add Data Service Upgrade Service Plan & Phone
Existing Cellular Number:	*	(If NEW service, type NEW) NOTE: Orders for NEW Activation or upgrades to existing service are subject to a $25.00 Telecommunications Service Fee.
Model Type:	*

Non-Bluetooth Headsets:	C150 - Jabra-in the ear with boom $10.00 C250 - Jabra over the ear w/ boom $22.00
Bluetooth Headsets:	H500 - Motorola $49.50 H700 - Motorola $77.00 BT250v - Jabra $55.00
Accessories:	Battery Leather Case $15.00-28.00 Plastic Belt Clip $15.00-20.00 Car Charger $15.00-28.00 AC Travel Charger $18.00-28.00 *All cell phones come with an AC power cord
To purchase accessories other than the one listed, call Cellular Services at (860)486-4357, option 2 for pricing and availability.

Telecommunications & Data Networking