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Cellular Service Request


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

AT&T - Contract end date 10/25/09 - Call (860)486-0259

*Required

Department and Billing Information

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.

Contact Information

Contact's Name: *
Contact's Telephone #: *
Contact's E-mail: *

Subscriber Information

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

Justification Memo:

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

Cellular Information

Vendor: * Nextel          Sprint
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: *
Monthly Rate Plans: (Nextel Sprint)
Voice Service: @ $ / month  
Data Service for the Blackberry, PDA
and Smart Phones:

@ $ / month
Blackberry Support: $ 5.00 / month

Accessories

Prices are subject to change.

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

Non-Bluetooth Headsets: C150 - Jabra-in the ear with boom $10.00
C250 - Jabra over the ear w/ boom $22.00
Bluetooth Headsets:

H550 - Motorola $60.50
H670 - Motorola $71.50
H710 - Motorola $88.00
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.

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Updated: 10/01/2009