Subject: PARC DLS Dial-Out Serice Request

To: Owners-DLSUsers^.pa

Cc:
Self

I am:

Your name:  
First M. Last
Your organization: 
organization
Your IntelNet #: 8*
xxx-yyyy
Reason for using
Dial-Out Service 
Reason: (remember that you will be billed for all calls).
Your budget center: 
Code
Duration service
is required:  
Date of anticipated termination of service

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NOTES (you may delete the following before submitting this request):

The DLS software has been modified such that Dial-Out phone charges
will be billed to the user. Grapevine is used to authenticate passwords
and a log is kept of all calls made. The DLS will deny Dial-Out Service
to anyone not on the Access Control List. This form, properly filled out
and approved, is the only way of getting on the Access Control List.
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