Stacks of brochures.

National Wireless Program

Bulk Order Request Form


Explanation:
  • Bulk Orders are for 2 or more devices.
  • The Point of Contact email address must be entered in the Wireless Device User Information email address.
  • The AITS/Property Information must be the same for the entire Bulk Order.
  • The Shipping Address must be the same for the entire Bulk Order.
  • When the spreadsheet is completed, it must be included as an attachment to the approval email sent to NWP by the MSC / Approving Manager listed on the request from. If you are not the MSC / Approving Manager listed on the from please email it to them.


ATTENTION to all Mobility Services Coordinators, Managers and Property Custodian/Delegates.
All property information must be complete and accurate before submitting. If not, the information will result in errors during the property upload. By submitting this form to the NWP, you agree that the wireless device asset will be loaded directly into your cost center.



Wireless Device User Information







Shipping Address **FAA Office Address Required - Cannot Ship to Residence**










Point of Contact







Vendor



Device







AITS/Property Transfer Information

NWP WILL PLACE DEVICES IN ADM/EQUIP IN ALL INSTANCES WHERE IT IS AN AVAILABLE OPTION IN AITS.









MSC approval is required for ALL wireless requests for AFN, ARP and ATO. This includes iPhones, Cellular iPads, Cellular Phones, Datacards, Satellite phones and International Features.


For all other organizations, only Cellular iPad, iPhone, and International Features requests must be submitted by the MSC.








Comments/Special Requests/Justification



Download the spreadsheet by clicking the link below before you Submit this form!

Bulk Order Spreadsheet link

Note: this will display the Bulk Order spreadsheet. Save the spreadsheet to your computer before entering any data. Further instructions are on the spreadsheet.