To request a PBN (authorization code) you may either complete the form below, or print out this form and campus mail it to telecommunications.

requested by: Phone Ext.:
Email Address:
Department: Department Number:
please assign a telecommunication authorization code.

please assign an at&t calling card.

please mail authorization code or calling card to:

user's name: extension: type of service
for auth codes only
request for authorization codes or calling cards which do not have contact information will not be processed.