Cell Phone Justification Form
University of Central Arkansas
Cell Phone Purchase Justification Form
Name
Department
University of Central Arkansas 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 it will provide.
(If additional space is needed please attach your comments on a separate sheet
of paper.)
Requisitioner Signature
Date
Chair/Department Head Signature
Date
Dean
Date
Vice President
Date
Please attach this form to your telephone service request form.
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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
Service Requested:
New
Preferred Service
Service:
Area – (*)
Zip:
Local
City
Phone #:
Area
Code:
Prefix
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 #:
Little
Rock
(*) 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:
Nokia 1200 Series tri mode phone
Ericsson T62u Digital (WAP enabled)
Use existing phone (list make, model and ESN)
Nokia 6340i Digital (WAP enabled)
Nokia 8265 Digital
Nokia 3560 Digital with color display
Motorola V60TI Digital (WAP Enabled)
DIS Calling Plans:
Basic Plan
(114 minutes) (Addl$.08)
Plan 1-National Plan (250 minutes) (Addl $.45)
Plan 2-National Plan (350 minutes) (Addl $.45)
Plan 3-National Plan (500 minutes) (Addl $.39)
Plan 4-National Plan (850 minutes) (Addl $.39)
Plan 5-National Plan (1200 minutes) (Addl $.39)
Plan 6-National Plan (2000 minutes) (Addl $.35)
Plan 7-National Plan (3000 minutes) (Addl $.29)
Quantity
Free
Free
$
$
$
$
29.00
99.00
79.00
79.00
$ 12.50
$ 31.97
$ 42.63
$ 53.30
$ 74.62
$ 106.61
$159.92
$213.23
D13AR114 WCAL LD10MINR
CP3N00001
corpmac10
CP4N00001
corpmac10
CP5N00001
corpmac10
CP6N00001
corpmac10
CP7N00001
corpmac10
CP8N00001
corpmac10
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.
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Battery Options / Telephone Accessories:
Nokia
Accessory
Battery – $30.00
Note Phone Model
1261, 3360 or 3560
62981
6340 or 8265
62984
5165
60012
5165 Vibrating Battery - $34.00
Belt Clip - $5.00
Holster - $7.00
Swivel Leather Case -$12.00
60014
1261, 3360 or 3560
61895
5165 or 6340
60077
1261, 3360 or 3560
61783
6340
63104
1261, 3360 or 3560
61199
6340
62065
8265
62705
5165
60038
5165 External Antenna - $15.00
Hands Free Ear Piece - $15.00
SKU
61242
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
Hands Free Car Kit - $154.00
5165 or 6340
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62973
62975
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 for V60TI (with USB Cable) – $49.00
62625
Hands Free Portable Kit – $99.00
62772
Hands Free Car 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/ USB Cable) - $49.00
62621
Hands Free Car Kit -$175.00 (3 pieces)
61920
61923
61924
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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 with the
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
Telegence Comp Code: 20970
Use 5 digit order number as compass PO
Compass ID: N04100031
Activate new service on BAN 361277381
Use last name and 5 digit Reference order number in user field
Address questions to Ryan X432759
SOC may be specific to Direct Market
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Revised 7/23/2003
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