Please complete the information below.Then, print this section out, sign, and fax it to the three contacts in this form. After faxing is complete, follow the link at the bottom of this page to proceed to the service order form.
Before submitting this form, please be sure you have read and understand the Agreements with Sprint and with Verizon/Bell Atlantic which govern this service. Each of these documents is available on the World Wide Web at http://www.networkvirginia.net
By signing below, you acknowledge you have read these documents and agree to the terms and conditions contained therein.
If signature is other than ordering party, a letter of authorization is required from the ordering party.
| Authorized Signature | Date |
Please provide the following information and submit copies via FAX to:
| Sprint | Virginia Tech |
|---|---|
| Attention: Brandy Haggar | Attention: Vicki Wright |
| FAX #: 404-649-9349 | FAX #: 540-231-2383 |
| Phone #: 214-893-5954 | Phone #: 540-231-3300 |