Videoconference Multipoint Booking Form Company How to complete: Double click active fields to complete detail – Where indicated select from the drop down menu by moving selection to top Help text may be seen in the Status Bar for some fields Use a separate sheet if more locations are required PLEASE EMAIL COMPLETED FORM to: [email protected] – Tel: 0500 10 15 20 for assistance Booked By: Contact Telephone No: Billing Ref/Cost Centre Email Address for confirmation Billing Address Date(s) of Conference: Your Ref: Set Up Time: Start Time: End Time: Duration: Bandwidth/Speed Required: 384k select from dropdown Screen Layout: Continuous Presence Operator Managed Level: Passive select from dropdown Greet & Guide: No select from dropdown Select from dropdown Screen Layout Continuous Presence Voice Activated 2 Way -Top & Bottom 2 Way - Side by Side Presentation 5+1 4- Way Site 1 Site 2 Site 3 Location: Location: Location: Video No: Video No: Video No: Participant Name: Participant Name: Participant Name: VC System Model VC System Model VC System Model Contact Tel No: Contact Tel No: Contact Tel No: Meeting Room Tel No: Meeting Room Tel No: Meeting Room Tel No: Site 4 Site 5 Site 6 Location: Location: Location: Video No: Video No: Video No: VC System Model VC System Model VC System Model Participant Name: Participant Name: Participant Name: Contact Tel No: Contact Tel No: Contact Tel No: Meeting Room Tel No: Meeting Room Tel No: Meeting Room Tel No: 9 Way Notes/Special Instructions: 400 Thames Valley Park Drive, Thames Valley Drive, Reading, Berkshire. RG6 1PT Tel: 0500 10 15 20 – Fax: 0118 963 77793 – www.cereno.co.uk
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