Version 3
Please complete all sections as thoroughly as possible and email completed form to .
Personal DetailsName of user:
Email address of user:
Department:
Dept address:
Project Code to be used for equipment purchase:
Project Code to be debited for monthly usage/rental:
Name of person to receive copy of monthly invoice (this must be someone different to user):
Email address of person to receive monthly invoice:
Connection Type
New connection? / Upgrade to existing connection?
If order refers to an upgrade please specify the mobile number:
Service Type
Required Service type:
(Check as appropriate) / Standard mobile
Blackberry
Data Card
Mobile Email
Device model
Tariff
If order relates to a Blackberry please enter the Blackberry users University login ID (eg cczpr). Please do NOT enter any passwords.
Terms and Conditions
- Contract Term
- Handset Ownership
- Any handset provided remains the property of the University of Nottingham. When devices/SIM Cards are no longer required as a result of an upgrade or contract termination they must be returned to Telephone Services, A29 Law and Social Sciences Building, University Park.
- Schools/Departments are permitted to transfer handsets between individuals but changes to the holder must be notified to Telephone Services
- If handsets are retained by school as a result of a vacant position then Telephone Services must be notified.
- Usage Policy
Check this box to indicate you agree to the Terms and Conditions