FORM: TWR new USASA

Requestors Username:

Cost Centre Code for Work Request:

Cost Centre Code for calls made from new extension:

Cost Centre Manager:

Wall Point Location in Room:

Extension Required:

No - is an Analogue line used for Fax or Eftpos ($50)

Softphone Software + Extension # ($120)

Analogue handset + Extension # ($250)

IP Konftel Conference Phone + Extension # ($1200)

Wireless IP Konftel Conference Phone + Extension # ($1500)

Expansion microphones for IP Konftel Conference Phone ($350)

If you have selected a Handset Required option preceded by a '*' what is the phone's MAC Address:

Phone Call Access required:

Internal Calls ONLY

Local Calls

STD/Mobile Calls

IDD Calls

Voicemail Required

Yes

Email Address which Voicemail will be connected to:

Telephone Work Request (TWR) for USASA