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Use to place an order without an
FSU Departmental Budget Number
** Departments using OMNI budget, click here **
**STUDENTS** Click here for Forms
Required = Required!
For the AUTOFILL/SAVED INFO ("cookies") feature on this form,
please verify these fields before resubmitting, or click to clear all.

Company Name:Required
(If company not listed, select "Not Listed Here" & enter under DETAILS OF WORK below)
  

Contact Name:Required
If not listed, type in here: 38.107.191.111
 Contact E-mail:Required
   		Contact Phone: Required
  
Service Address:Required
    		 
Billing Contact Name:
Billing Contact E-Mail Address:
 
Please check all services that apply
Be sure to include the details in the "Details of Work" box below!
VOICE SERVICES
Basic Telephone Service/ Custom Calling Features
Instruments/Equipment
Long Distance Options
800 Number
Calling Card
Class of Service
Auth Code Change
Voice Mail
Reset Voice Mail Passcode (only)
Meet-Me Conference (Up to 30 participants)
Cellular/Wireless Service (includes cellular, PDA's, connection cards, pagers, radios)
VIDEO SERVICES
Cable TV Service (Seminole CableVision)
Video Conference/Room & Polycom Rental
DATA SERVICES
Networking Setup/Configuration (Data)
High Speed Internet Access (off-campus)
FSU@Home (DSL)
Cable Internet
BUILDING ACCESS/SECURITY
Access (Card), CCTV, Alarms & Monitoring
MISCELLANEOUS optionS (APPLIES TO ALL ABOVE)
WIRING REQUIRED
Check if ANY part of this order requires installation or relocation of phone, computer or cable jack/outlet, alarm/card reader, etc.
TO CANCEL/DISCONNECT SERVICES
Check service box above & explain under "Details of Work" below, including disconnect date.
ESTIMATE ONLY
Check if an estimate is required BEFORE processing order
TO VOID AN ENTIRE ORDER
Email help@otc.fsu.edu & provide TSR Order Number
DETAILS OF WORK Required Field!
(Please try to be as specific as possible) 
** If special due date needed other than the 10-day standard turnaround, explain below **
** If this is not a media order, highlight all info in this box and type over. **
Required Field!SECURITY QUESTION:
What is 2+3?

Click the Send button only ONCE!
It may take several moments to process information.

For questions, comments or technical difficulties on this form, email help@otc.fsu.edu