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PictureTel Videoconference Request



Please answer the following questions:

**** Requests MUST be received at least a week before event. ****


Your details:

Name:

Phone Number: Email Address:

Date of Use: Starting Time: Ending Time:



Is our campus placing the call? Yes No
If so, What numbers are we calling? #1 #2

Location(s) participating:

A video "BRIDGE" is required for more than one additional location.

Contact Person or group being called:

Number of people participating at our location:



Will the Document Camera be needed for printed materials or graphics? Yes No
Is there a need for a VCR or Laser Disc to transmit images?

Is there a need for computer equipment?

List any additional equipment needed from Instructional Services:

Does someone attending the video conference have training on the Keypad controls? Yes No

Press and your request will be processed or to start again.