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University of Arkansas at Little Rock

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Mobile Device Order Form

Step 1 of 4

25%

Requestor's Contact Information

Name(Required)

First Last

Email(Required)

Trojan ID Number(Required)

Contact Number(Required)

Device User Name(Required)

First Last

User Email(Required)

User Trojan ID Number(Required)

Work Phone Number(Required)

Job Title(Required)

Organizational Unit(Required)

Division(Required)

Cost Center / Worktags(Required)

Enter N/A if not applicable

Are you making changes to a current mobile line?(Required)

Yes

No

Current Mobile Phone Number(Required)

Current Phone Make and Model(Required)

Choose a device to purchase.(Required)

Smartphone

Basic Phone

Mobile Broadband (Hotspot)

Other (specify devices not listed, including Tablet, Smartphone, etc.)

Quarterly Promotions

Lowest Cost Mobile Devices

Full List of Mobile Devices

NOTE: All of the devices and prices in both documents are updated quarterly.

Smartphone(Required)

Apple

Android

Phone Model(Required)

Basic Phone Model(Required)

Mobile Hotspot Model(Required)

Specify what device you need.(Required)

International Plan

Please put all countries you are traveling, departure date, return date, and mobile service features needed (talk, text, data).

Accessories / Features

Protection Case

Screen Protector

Car Charger

Wall Charger

Enable Hotspot

International Plan

Other (please specify below)

Miscellaneous Information

Captcha

Services
About
- Contact Us
- Departmental Support

Contact
- Information Technology Services
- 2801 S University Avenue
  TROJAN A (TRA) 105
  
  Little Rock, AR 72204
- Phone:
  501-916-3011
  Email: itservices-help@ualr.edu
- More contact information

Need help?
Call the assistance center at 501-916-3011 or view support options.
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