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Telecommunications Work Order Request

Contact Information:

Requested by:
Mail Stop:

Indicate service needed:

New phone line installation - ON CAMPUS  OFF CAMPUS
  • Long Distance Capabilities Yes     No
  • Audix Yes     No
    • If yes, indicate number of rings before Audix picks up (2 through 6)
  • Add this new extension to a Call Pick-Up Group Yes     No
    Main extension of Call Pick-Up
  • Indicate the individual or department's name to appear on a Caller ID phone:
  • Caller ID for Analog Phone  Yes      No
  • Telephone purchase? Indicate quantities:
Digital Telephone Sets
6408D+ Digital Phone w/ Display $150.00
6416D+ Digital Phone w/ Display $175.00
6424D+ Digital Phone w/ Display $200.00
Analog Phones
  Panasonic w/Caller ID and Msg light $75.00
SciTec w/Mute, Hold, Speaker $65.00
Analog Wall Phone $50.00

New fax line installation
Move telephone or fax line - Phone Number(s):  
Disconnect telephone or fax line - Phone Number(s):  

Teleconference Equipment Rental  On analog line at extension

                                                      On digital line at extension 

Rent Cellular Phone(s)-Enter quantity needed
Rent Pager(s)-Enter quantity needed 

Install Cable TV Line(s)
Install LAN (Local Area Network) Line(s)

Convert Analog line to Digital line: Extension(s) , , ,

Convert Analog line to Caller ID: Extension(s) , , .

Install Message Manager for: Extension(s)  , , .

Set up/Change Auto Attendant
Set up/Change 800 service
 Set up/Change Call Coverage
Set up/Change Hunt Group
Add/remove Audix from an existing phone:

Extension(s) # of rings
Change programming on an existing digital phone:
Extension(s) , , , .

Work Location:

Building Floor
Area/Room # Date service is needed:


Billing information

Index Code to be charged:   

You will receive confirmation via the e-mail address you provided that your request has been received and is in process.

Telecommunications | | (573) 651-2575 | updated 07/01/2013 | disclaimer
2001 Southeast Missouri State University | One University Plaza | Cape Girardeau, MO 63701 | (573) 651-2000