1.Ticket number in which the help desk recommended a new phone:

*2.If this is a replacement, will the old phone be issued to another employee or turned into the IT department?(Required.)

The phone will be turned into the IT department.

The phone will be reissued to another employee.

This is not a replacement phone.

*3.Phone recipient's email address:(Required.)

*4.NVP or department director's email address for purchase approval:(Required.)

*5.Area code to assign to number (note that 202 area codes may not be available):(Required.)

*6.Address to send the phone to:(Required.)

Street and number:

City:

State:

Zip code:

*7.I prefer:(Required.)

Android

iPhone

8.Insurance if Android is selected:
Insurance details: https://www.att.com/smallbusiness/wireless/device-protection/ 

Yes, this costs $17 per month.

No, repair will be paid for by the department.

*9.Screen size:(Required.)

Standard 

Large: an additional cost of approximately $300 will apply.

*10.Internal storage size:(Required.)

128 GB

256 GB: an additional cost of approximately $100 will apply.

*11.Protective case required:(Required.)

Yes, please order a case costing about $30.

No, I agree that I will purchase a custom case separately to keep my phone protected.

12.Please provide any special information such as a link to a case on Amazon below: