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Cancellation of Cellular Service Request Form

Cellular phones for departmental use can be purchased from the State of Georgia contract from a list of approved vendors. Information showing cellular models and features, accessory lists, and package plan can be obtained by emailing Shawn Gibbons at sgibbons@valdosta.edu or 333-5706. To take advantage of the State contract's discounted pricing, the Cellular Service Forms must be used.

Faculty and staff may use this form to cancel existing service for departmental cellular phones. An email to the Dean or Department Head will be sent for verification for financial reasons. Processing of this request will begin once email authorization is received from the Dean or Department Head.

Old unit and accessories must be returned to the Telecommunications Department before termination of billing can occur.

Email sgibbons@valdosta.edu any questions pertaining to the use of this form or other service ordering questions.

* Denotes required field.

*First name of account user:
*Last name of account user:
*VSU email address of account user:
*Current cellular# to disconnect (10 Digits):
*Dean/Dept. Head's VSU email address:

Reason for cancellation of service:

Comments/Instructions/Timing/Special Information:

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