University of Toledo Pager Request Form Department Billing Information-the department responsible for the monthly charge. Banner Acct Number Department Name User Name Extension Number Pager type _________________________________________________________________ Authorized Signature of Manager Date _________________________________________________ Print Name of Manager Please fill out the information above and fax to Pam Imbery @ 419-383-3100. Manger/Supervisor signature is required to process this request. Once the request is faxed, it will be processed and you will be notified the pager is ready to be picked up. Any questions, please contact Pam Imbery @ 6012. Pager Types Available for Lease: Numeric pager $1.95per mo. Receive numeric pages or codes, up to 20 digits in length 30 message memory 12 tones and vibe Always Ohio, Michigan and Indiana coverage Text pager $3.95per mo 4 line x 20 Alpha Character display Up to 16 saved messages Lighted display Multiple alert options Always, Ohio, Michigan and Indiana coverage