Service Order Form 02 by tba32074

VIEWS: 9 PAGES: 1

									                                                                                                                                                                CONTROL N0.
                                        CUMC TELECOMMUNICATIONS SERVICE REQUISITION
                                                                 650 WEST 168TH STREET, BLACK BUILDING B02



    DATE             -       -               DEPARTMENT NAME

    DEPT                 -                   CONTACT NAME

    INSTALL FAS          -                   CONTACT EXT:                        -                                                            @   Columbia.edu
                                                                                                                       EMAIL ADDRESS
    MONTHLY FAS          -                   USER NAME:
                                                                                          LAST NAME                                           FIRST NAME
    PROJECT N0                               DAF APPROVAL:
                                                                                PRINT AUTHORIZED NAME                                    AUTHORIZED SIGNATURE


    PLEASE CHECK TYPE OF SERVICE DESIRED:

       NEW INSTALL                     ANALOG LINE                           KEY EXT MOD                   CALLING CARD                                    PAGER UNIT *
                                       FAX / MODEM / VERIPHONE                                                                                         * PROVIDE ASSOCIATED EXTENSION

       INSIDE MOVE                     SINGLE LINE SET                       UPGRADE                       CONFERENCE UNIT

       DISCONNECTION                   8 BUTTON SET                          DOWNGRADE                       INTERCOM ASSIGNMENT *                         VOICE MAIL*
                                                                                                        * PROVIDE ASSOCIATED EXTENSION                 * PROVIDE ASSOCIATED EXTENSION

       SOFTWARE                        16 BUTTON SET                         CELL PHONE

     PROVIDE NEW SERVICE LOCATION:                           NEW LOCATION:
     FOR ESTABLISHING NEW SERVICE PROVIDE NEW LOCATION                                                  BUILDING                   FLOOR               ROOM NUMBER

     PROVIDE INSIDE MOVE LOCATIONS:                          CURRENT LOCATION:
     FOR EQUIPMENT & LINE MOVES PROVIDE CURRENT & NEW LOCATIONS                                         BUILDING                   FLOOR               ROOM NUMBER


      MERIDIAN 8 BUTTON SET                                                                      MERIDIAN 16 BUTTON SET
        CURRENT                    NEW                                               CURRENT                                                       NEW


8     PROGRAM            8    PROGRAM                             HANDSFREE           16        PROGRAM            8        HANDSFREE              16           PROGRAM                 8



7    HANDSFREE           7   HANDSFREE                              DISPLAY           15         MESSAGE           7           DISPLAY             15            MESSAGE                7



6    CONF/TRANS          6   CONF/TRANS                                               14                           6                               14                                   6



5      ICM               5       ICM                                                  13                           5                               13                                   5



4                        4                                                            12                           4                               12                                   4



3                        3                                       CONFERENCE           11                           3       CONFERENCE              11                                   3


2                        2                                                                                         2                                                                    2
                                                                   TRANSFER           10                                     TRANSFER              10



1                        1                                           ICM              9                            1           ICM                 9                                    1



REMARKS:




                                                         TELECOMMUNICATION OFFICE USE ONLY

    TELECOMM ANALYST:                                                                                         TECHNICIAN(S):

								
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