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Cellular Service Request Form


NOTE: This form must be submitted by the Department Telephone Coordinator.

Please complete this form to assist ITS Service Desk in recommending the cellular carrier, usage plan and phone that best meets the needs of your department.


Contact & Billing Information
Department: Account #:
Department Telephone Coordinator: Ext #
Cellular User Name:
 Ext #
New Service    Change Service    Cancel Service
Cellular Number (If Applicable):


Type of Usage
Please rank you anticipated usage from 1 to 3 (1 being the most frequent type of usage)
Local (San Luis Obispo County)
California
United States (All 50 states)
Estimated Monthly Usage

Please enter estimated monthly minutes:
*Note: You may change your plan at any time.



Phone Preferences
Please choose a phone and rate plan from this site: Faculty/Staff Cellular Plans
Please select a Vendor preference for our reference: Cellular One Verizon Wireless


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