UWSP Business Cellular Application
(If you have any problems with this form, please call Karlyn Jakusz at (715) 346-4716.)

This form allows you to apply for UWSP Business Cellular Service.  Once your form is submitted, Roger Parmeter will contact you within 1-2 business days.  If you do not receive a response, please call Roger at (715) 346-4458.

New phones arrive within a week.  Special orders may take longer.  The phone will be shipped to the Telephone Support Office.  You will be notified when it arrives, and when you can pick it up.

Contact First Name:
Contact Last Name:
Contact E-mail Address:
Contact Telephone Number:  (xxx-xxx-xxxx)
Name(s) on the Phone:
Department:
Department Account #:  (6-digit number)
Cell Phone Requested:  (Make & Model)
Do you need additional accessories: NO
YES, explain
Do you need an alternative calling plan? No
YES, explain
 

Do you have any additional comments, questions, or concerns about Business Cellular Service?  Please indicate them here: