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Transfer Existing
University of Connecticut
Cellular Telephone Service

*Required

Department and Billing Information

Department Name: *
Department Head's Name:  
Has the department head authorized this request? * Approval is required.  By indicating "yes", your department agrees to pay for all charges that pertain to this request.

Contact Information

Contact's Name: *
Contact's Telephone: *
Contact's E-mail: *

Subscriber Information

Subscriber's Name:
(Name on the phone bill)		 *  First: Last:

Cell Phone/Blackberry to be transferred:

Cellular/Blackberry
Number: 		*
Current Vendor: * AT&T (Cingular)
Sprint/Nextel  
Verizon
Vendor service is being transferred to: * AT&T (Cingular)
Sprint/Nextel  
Verizon
Other (Specify below)
Is this a Blackberry
Device? 		  Yes        No      
Telecommunications will contact you to coordinate the transfer of your cellular service.

Comments:

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Created: 1/15/2009