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University of Minnesota- Information Technology- Voice and Data
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For help filling out this form or if you have general questions please call the Voice and Data Request Team at 612-625-1355.
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**Please note in the comments on this form if you require a consultation. The assigned coordinator will reach out to you and schedule a meeting.**
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REQUESTOR NAME:
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PHONE NUMBER:
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MOBILE NUMBER:
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EMAIL:
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ON-SITE CONTACT NAME:
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PHONE NUMBER:
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MOBILE NUMBER:
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EMAIL:
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REQUEST FOR New Telephone Service
Information for pricing and telephone guides can be found here:
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https://it.umn.edu/services-technologies/resources/telephone-pricing-guides
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FIRST NAMELAST NAMEEMAILSOFTPHONE REQUIRED (Y/N) (Cisco Webex Teams)HARDPHONE REQUIRED (Y/N)PURCHASE PHONE FROM OIT? -PHONE MODEL REQUIRED - SEE PRICING GUIDE ABOVEJACK # and/or BLDG/FL/RMNEED VOICEMAIL? (Y/N)NEED LONG DISTANCE? (Y/N)BILLING EFS/ ONE-TIME CHARGESBILLING EFS/ RECURRINGADDITIONAL INFORMATION
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Request for Data Service
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JACK # and/or BLDG/FL/RMWORKGROUP/ VLANMID (OPTIONAL)BILLING EFS/ ONE-TIME CHARGESBILLING EFS/ RECURRINGADDITIONAL INFORMATION
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MOVE/CHANGE EXISTING TELEPHONE SERVICE
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PHONE NUMBERUSEREMAIL (OPTIONAL)CURRENT
JACK # and/or BLDG/FL/RM		NEW
JACK # and/or BLDG/FL/RM		BILLING EFS/ ONE-TIME CHARGESBILLING EFS/ RECURRINGADDITIONAL INFORMATION
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