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Cellular Phone Accessories Only

Quick Links to: Blackberry Devices PDA/Smart Phones Cellular Service Form

*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:

Cellular Information

Existing Cellular Number:	*
Vendor:	*	AT&T (Cingular) Sprint/Nextel Verizon
Model Type:	*

Cellular Phone Accessories

Prices are subject to change and vary depending on cellular carrier and cellular phone model. There will be a 10% Telecom Charge.

Comments:

Updated: 6/28/2007