DIS Wireless Service Order Form

University of CentralArkansas

Cell Phone Purchase Justification Form

Name

Department

University of CentralArkansas recognizes the productivity enhancing qualities of cell phone use. The university also recognizes the responsibility it has to the taxpayer to allocate resources based on need of service. We are requesting that you provide a brief description of your requirements for cell phone use and the anticipated productivity enhancements cell phone use will provide.

(If additional space is needed please attach your comments on a separate sheet of paper.)

Requisitioner SignatureDate

Chair/Department Head SignatureDate

DeanDate

Vice PresidentDate

Please attach this form to your telephone service request form.

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 #:

Physical Delivery Address - No P. O. Boxes Allowed
Department:
Street:
Suite/Room Number:
City: / State: / AR / Zip: / Phone #:

Service Requested:

New Service: / Preferred Service Area – (*) / LocalCity / Area Code: / Prefix / Little Rock
Upgrade phone equipment / List Cingular 10 Digit Phone #:
Convert Cingular Service to State Plan / List Cingular 10 Digit Phone #:
Accessories & Optional Services / List Cingular 10 Digit Phone #:
Disconnect Service / List Cingular 10 Digit Phone #:

(*) NOTE: Specify if the cell phone number should be a number local to the user or whether it is to be a Little Rock telephone number. If local to the user, specify both Area Code and Prefix.

Phone Type Options: / Quantity
Nokia 1200 Series tri mode phone / Free
Ericsson T62u Digital (WAP enabled) / Free
Use existing phone (list make, model and ESN)
Nokia 6340i Digital (WAP enabled) / $ 29.00
Nokia 8265 Digital / $ 99.00
Nokia 3560 Digital with color display / $ 79.00
Motorola V60TIDigital (WAP Enabled) / $ 79.00

DIS Calling Plans:

Basic Plan (114 minutes) (Addl$.08) / $ 12.50 / D13AR114 WCAL LD10MINR
Plan 1-National Plan (250 minutes) (Addl $.45) / $ 31.97 / CP3N00001 corpmac10
Plan 2-National Plan (350 minutes) (Addl $.45) / $ 42.63 / CP4N00001 corpmac10
Plan 3-National Plan (500 minutes) (Addl $.39) / $ 53.30 / CP5N00001 corpmac10
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 $.35) / $159.92 / CP8N00001 corpmac10
Plan 7-National Plan (3000 minutes) (Addl $.29) / $213.23 / CP9N00001 corpmac10

Note: All plan prices exclude tax. All current National Plans include 5000 Bonus Night and Weekend Minutes that may be used 9 p.m.-7 a.m. Monday-Thursday and 9 p.m. Friday through 7 a.m. Monday. Additional minute prices are also shown. National Plans will also incur a $.79 per minute roaming charge if outside the coverage area.

BatteryOptions / Telephone Accessories:

Nokia
Accessory / Note Phone Model / SKU
Battery– $30.00 / 1261, 3360 or 3560 / 62981
6340 or 8265 / 62984
5165 / 60012
5165 Vibrating Battery - $34.00 / 60014
Belt Clip - $5.00 / 1261, 3360 or 3560 / 61895
5165 or 6340 / 60077
Holster - $7.00 / 1261, 3360 or 3560 / 61783
6340 / 63104
Swivel Leather Case -$12.00 / 1261, 3360 or 3560 / 61199
6340 / 62065
8265 / 62705
5165 / 60038
5165 External Antenna - $15.00 / 61242
Hands Free Ear Piece - $15.00 / 1261, 3360, 3560 or 8265 / 60379
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

Battery Options / Telephone Accessories:

Motorola
Accessory / SKU
Li Ion 850 MAH - $45.00 / 62985
Holster - $7.00 / 63036
Leather case - $12.00 / 62883
Hands Free Ear Piece - $15.00 / 61115
Cigarette Adapter - $28.00 / 61946
Wall Charger - $15.00 / 61790
Desktop Stand w/clock - $49.00 / 62089
Data Connect Kit forV60TI(with USB Cable) – $49.00 / 62625
Hands Free Portable Kit –$99.00 / 62772
Hands FreeCar Kit - $199.00 (2 pieces) / 62826 & 62877
Ericsson
Accessory / SKU
Battery - $30.00 / 62033
Holster - $7.00 / 62639
Leather Case - $12.00 / 61942
Hands Free Ear Piece - $15.00 / 61259
Cigarette Adapter – $28.00 / 61250
Wall Charger - $15.00 / 61912
Desktop Stand - $30.00 / 61915
Data Connect Kit for WAP Phones (w/ USBCable)-$49.00 / 62621
Hands Free Car Kit -$175.00 (3 pieces) / 61920
61923
61924

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 having this option do not count against the billable airtime. (This feature may be added to the Nationwide Plans).
SOC DM2M5K
Add / Delete / Messaging Bundle: ($10/mo) - Unlimited paging, email, text messaging and Wireless 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 Arkansas home area to anywhere in the United States with no toll charges. (Available only withthe Basic Plan)
SOC DIS1
Add / Delete / 5000 Minutes Off-Peak: ($10/mo plus tax) - Allows additional 5000 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 Basic Plan)
SOC DNW5K

For Internal Use Only:

Major Account Number: ARK1DIS / Activate new service on BAN 361277381
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

Revised7/23/2003

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