complete our multi point booking form

Videoconference Multipoint Booking Form
Company How to complete:
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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