REQUEST FOR TELEPHONE SERVICES

MISSOURI WESTERN
REQUEST FOR TELEPHONE SERVICES
(please allow 14 working days for completion of orders)

Date: (xx/xx/xx)		Possible Date for Completion: (xx/xx/xx)
Dept #:		Dept Name:
Room:		Building:
Phone Number: (if available)		Directory Listing:
Type of Telephone: Color:
Should this phone be able to dial long distance?
Call Forward Don't Answer - What Number?
Call Forward Busy - What Number?
Call Pickup - What Number?
Speed Call -
Voice Mail - see below
Should this voice mail have the capability of "0" to another number? If "Yes," What Number?

Detailed Description of Request: