Phone:    510-643-7000

Email:     rts@berkeley.edu
 

To Order DSL Service please complete the form below and click the submit button once. By submitting this form, you have agreed to the term and pricing for DSL services. All email addresses are required to successfully submit the order.

Your information will be sent to dsl4ccu@lists.berkeley.edu

DSL Service Order Form

Employee ID: 

Name: 

E-mail: 

Daytime telephone: 

Location where DSL service will be installed:

Street address: 

City: 

State: 

Zip code: 

Is MPOE accessible?: 

 

Authorized signature name: 

Authorized signature e-mail: 

Authorized signature telephone number: 

Department name: 

Enter full BFS Chart-of-Account String: 

Business Unit: 

Account: 

 (56130-CNS account)

Fund: 

 (e.g., 19900)

Organization: 

 (e.g., 22233)

Program: 

 (e.g., 68)

Sub Program: 

 (e.g., X)

Project: 

 (e.g., FN6335)

Flex Field: 

 (e.g., FN248)

 

Account administrator name: 

Account administrator e-mail: 

Account administrator telephone number: 

 

Install DSL on existing line?: 

. 

If Yes, Specify Telephone Number. Cannot be a campus nunber (510-642 or 510-643):

. 


Specify service (Basic or Enhanced): 

 

Computer type: 

Operating system: 

 

Ethernet card needed?: 

Installation restrictions, comments: If you are ordering self-installation, please comment here.




    Please Note:  Certain non-standard browsers may not respond properly. If you experience any difficulties, or if you are     not using a forms capable browser, you may email the above information to dsl4ccu@lists.berkeley.edu

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       Address comments to: rts@berkeley.edu.