O Boxes ll owed Department Street SuiteRoom Number City State AR Zip Phone Service Requested New Service Preferred Service Area Local City Area Code Prefix Little Rock Upgrade phone equipment List Cingular 10 Digit Phone Convert Cingular Service ID: 17970
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University of Central Arkansas Requisitioner Signature Date Chair/Department Head Signature Date Dean Date Vice President Date Page 1 of 4 DIS Wireless Service Order Form Date: SO Number: (for internal DIS use only) Department Name: Authorized By: Contact Name: Contact Phone # : User Name: DIS (4 digit) Acct # : New Service: Preferred Service Area – (*) Local City Area Code: Prefix Little Rock Upgrade phone equipment List Cingular 10 Digit Phone #: Convert Cingular Service to State Plan List Cingular 10 Digit Phone #: A ccessories & Optional Services List Cingular 10 Digit Phone #: Nokia 8265 Digital $ 99.00 Nokia 3560 Digital with color display $ 79.00 Motorola V60T I Digital (WAP Enabled) $ 7 9.00 DIS Calling Plans: Basic Pl an (114 minutes) (Addl$. 08 ) $ 12.50 D13AR114 WCAL LD10MINR Plan 4 - National Plan (850 minutes) (Addl $.39) $ 74 . 62 CP6N00001 corpmac10 Plan 5 - National Plan (1200 minutes) (Addl $.39) $ 106.61 CP7N00001 corpmac10 Plan 6 - National Plan (2000 minutes) (Addl $.3 5 ) $1 5 9.9 2 CP8N00001 corpmac10 Plan 7 Page 2 of 4 Battery Options / Telephone Accessories: Nokia Accessory Note Phone Model SKU 1261, 3360 or 3560 62981 6340 or 8265 62984 Battery – $30.00 5165 60012 5165 Vibrating Battery - $34.00 60014 1261, 3360 or 3560 61895 Belt Clip - $5.00 5165 or 6340 60077 1261, 3360 or 3560 61783 Holster - $7.00 6340 63104 1261, 3360 or 3560 61199 6340 62065 8265 62705 Swivel Leather Case -$12.00 5165 60038 5165 External Antenna - $15.00 61242 1261, 3360, 3560 or 8265 60379 Hands Free Ear Piece - $15.00 5165 or 6340 60081 Cigarette Adapter - $28.00 60065 A/C Wall Charger - $15.00 60344 Hands Free Car Kit - $154.00 (2 pieces ) 1261, 3360 or 3560 62973 62975 Hands Free Car Kit - $154.00 5165 or 6340 60089 Page 4 of 4 Optional Services : Add Delete Phone - to - Phone : ($10/mo) - This option provides 5000 minutes calling between Cingular wireless telephones if the originator of the call is within Arkansas. Minutes of use between telephones havi ng this option do not count against the billable airtime. ( This feature may be added to the Nationwide Plans ) . SOC DM2M5K Add Delete Messag ing Bundl e : ($10/mo) - Unlimited paging, email, text messaging and Wire less Internet . Airtime still applies. SOC WORKS Add Delete Roadside Assistance ($3/mo) SOC CRS Add Delete Unlimited Long Distance : ($1/mo plus tax) – Calling from Ark ansas home area to anywhere in the United States with no toll charges. (Available only with the Basic Plan ) SOC DIS1 Add Delete 5 000 Minutes Off - Peak: ($10/mo plus tax) - Allows additional 5 000 off - peak minutes from 9 p.m. to 7 a.m. Monday through Thursday and 9 p.m. Friday through 7 a.m. Monday. (Available only with the B asic P lan) SOC DNW5K For Internal Use Only: Major Account Number: ARK1DIS Activate new service on BAN 3 61277381 Telegence Comp Code: 20970 Use last name and 5 digit Reference order number in user field Use 5 digit order number as compass PO Address questions to Ryan X432759 Compass ID: N04100031 SOC may be specific to Direct Market Revised 7 / 23 /2003