MSLN Service Upgrade Equipment Purchase Request

UNET Computing Center
5752 Neville Hall
Orono, ME 04469-5752
Attn: Jeff Letourneau
Fax: 207-561-3531

Please provide the following information.

Technical Coordinator___________________________

Site Location: ___________________________ ___________________________ ___________________________

Billing Address: ___________________________ ___________________________ ___________________________

Please select from the following options:

Select	Option (Choose only one)	Cost
_____	Cisco 1841 Router / T1 CSU	$1450.00
_____	Cisco 1841 Router / T1 CSU with 1st year maintenance	$1525.00
_____	T1 CSU for existing router	$600.00
_____	Used T1 CSU for existing router (limited availability) Not for use in Cisco 1841	$200.00
Please call for details 888-FOR-MSLN

Authorized signature___________________________

Title __________________________