PAGER CONTRACT FORM
MEMORANDUM
TO: Mike Smith
Telecommunications Coordinator
Delgado Community College
FROM: Rus Crawford
OTM
Technical Services
This is to confirm that I am an authorized agent of the agency and here to, acknowledge receipt on behalf of the agency, the pager(s) cited below, the instructions/demonstrations regarding precautions and proper use, and acceptance of the following terms for handling the pager(s):
See attached pager for pager list if not listed at bottom of page:
Billing Unit:
See attached pager list
LOC CODE: USLNNW094
A. Be responsible for the return of the aforementioned equipment of the Office of Telecommunications Management (OTM) on demand;
B. Report as soon as possible any malfunction of the pager(s) to OTM, first for instructions on maintenance actions which the Agency must take to effect repair of the pager(s) – 225/342-7716;
C. Report as soon as possible the loss or damage of the aforementioned property to OTM within one (1) month of discovering such status;
D. Reimburse OTM for the above noted property if lost or stolen;
E. And provide any additional batteries that may be required.
Print Name:____________________________
Signature:_____________________________ Date:____________, 2000
800# To use with Pin # --- 800-999-6710
Inventory # Pin # Cape Code Serial # Air User’s Name
_____________________________________________________________________
***Please sign and date contract form and return it to the Office of Telecommunications
Pager Section
PCF 5/2000