Administrative Section	PG	OF

PON*	PRE	cC*

(Note: “PRE” is part of the PON and indicates a pre-order request. Do NOT include the “PRE” in the PON field of the LSR when submitting the firm order request)

DS1 Circuit Information Section

FQR	ISDNP

FFEATURE	FFEATURE DETAIL

FFEATURE	FFEATURE DETAIL

FFEATURE	FFEATURE DETAIL

FFEATURE	FFEATURE DETAIL

Primary Location (Priloc) Information Section

PLST	EULST	CB

CBBTN	SAPR	SANO	SASF

SASD	SASN

SATH	SASS	LD1	LV1

LD2	LV2	LD3	LV3

AAI

CITY

STATE	ZIP

Secondary Location (Secloc) Information Section

CB	CBBTN

Administrative Section	PG	OF

PON*	PRE	cC*

(Note: “PRE” is part of the PON and indicates a pre-order request. Do NOT include the “PRE” in the PON field of the LSR when submitting the firm order request)

UNE ISDN PRI/Trunk Detail Section

DGOUT	TGTLI	TGDIR	GLARE	PTGNH

GSIND	GSQTY	GIND	GQTY	PIC	LPIC

TGLNA	TGQR	TGN

TGRTIACT	TGRTIQR	TGRTI

B and D Channel Detail Section	CNUM

TGLNUM	b cHAN QR	CHANNEL FEATURE

TGLNUM	b cHAN QR	CHANNEL FEATURE

TGLNUM	b cHAN QR	CHANNEL FEATURE

TGLNUM	b cHAN QR	CHANNEL FEATURE

TGLNUM	D cHAN QR	CHANNEL FEATURE

TGLNUM	D cHAN QR	CHANNEL FEATURE

TGLNUM	D cHAN QR	CHANNEL FEATURE

TGLNUM	D cHAN QR	CHANNEL FEATURE

PRI Telephone Number Detail Section

PTNRQ

Effective - 11/13/10 064118

ISDN PRI Reduced Input Form

(For Complex Preorder Use Only)

Effective - 11/13/10 064217

ISDN PRI (UNE) Service Request

RB0055526

2010-09-30

SBC