Western

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)
Code:   Fund: Orgn:   Prog:
Dept Name:
Room: Building:
Phone Number:
(if available)		 Directory Listing:
Analog   Digital
Should this phone be able to dial long distance?  
New Numbers ONLY:
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: