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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.

This form can be filled out online and pirnted or printed and filled out by hand. This label will not print with the form.

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University of Central Arkansas Cell Phone Purchase Justification Form Name Department University of Central Arkansas recognizes the productivi

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Page 1 of 4 DIS Wireless Service Order Form Date: SO Number: (for internal DIS use only) Department Name: Authorized By: Contact

Page 2 of 4 Battery Options / Telephone Accessories: Nokia Accessory Note Phone Model SKU 1261, 3360 or 3560 62981 6340 or 8265 62984 B

Page 3 of 4 Battery Options / Telephone Accessories: Motorola Accessory SKU Li Ion 850 MAH - $45.00 62985 Holster - $7.00 63036 Leather

Page 4 of 4 Optional Services: Add Delete Phone-to-Phone: ($10/mo) - This option provides 5000 minutes calling between Cingular wireless telep

Cingular 6340 User Manual