UW-Parkside: Telephone Service Order Form

TELEPHONE SERVICE ORDER FORM

Please send this completed form to Cindi Clark in Tallent 231. Call Cindi (262/595-2667) if you have questions.

Whether ordering moves/changes, or new telephone lines, be sure to list all telecommunications equipment involved with the line(s). We need to know if you use any of the following equipment: ISDN systems, multi-line phone instruments, line-status monitors, computer modems, caller ID devices, voice-mail message-waiting light boxes.

MOVES AND CHANGES ORDER

How to order moves and changes:

Examples:	Move 2667 from Tallent 238 to Tallent 182.
	Wire as line 3 of 3-line telephone:
	line 1 - 2381
	line 2 - 2440
	line 3 - 2667
	Extensions of 2667 appear in Tallent 222 and Tallent 230. They are to remain there.
	Install extension of 2222 in WYLL 182.
	Wire to single-line phone and line-status monitor.

Please write your order here:

Contact Person:
Name(required):
Location(required):
Phone(required):
E-mail Address(required):

Director's Information:
Dean or Director's Name(required):
Dean or Director's E-mail Address(required):
Charge installation and rental to:
Fund / Organization / Program (required)

NEW-LINE ORDER
The most commonly used Centrex features and restrictions are listed below. Please check the features and restrictions you want on each new line you are ordering. Call Mary Ruetz at 262/595-2667 if you have special feature/restriction needs.

FEATURES	Line 1	Line 2	Line 3	Line 4	Line 5
Basic Features Cost: no charge (Call transfer, three-way calling, consultation hold, 6-port conferencing, call hold, call-forwarding variable, speed-call 6) Ameritech automatically puts these features on every new line.
Call Forwarding - Busy Line Cost: no charge Automatically routes your call to another number when your lines are busy. Indicate in square(s) at right where line should forward.
Call Forwarding - Don't Answer Cost: no charge Automatically routes your call to another number when you don't answer your phone. Indicate in square(s) at right where line should forward and after how many rings.
Call Pick-Up Cost: no charge Dial 74 to pick up another ringing telephone in your area.
Directed Call Pick-Up Cost: no charge Dial 70 + the number of the ringing telephone you want to pick up.
Caller ID Cost: $2.25/month + installation charge
Voice Mail Cost: $2.50/month Indicate in square(s) at right the number of times you want your phone to ring before it transfers to voice mail; and whether you want the option to "bail out" to a live person on 0. If you do, include that number.

RESTRICTIONS	Line 1	Line 2	Line 3	Line 4	Line 5
1)On-campus, 911, local, information, toll long-distance, STS
2)On-campus, 911, local, and STS
3)On-campus, 911, local, information, toll long-distance
4)On-campus, 911, local
5)On-campus, 911, local, and information
6)On-campus and 911
7)On-campus