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Satellite Videoconference Scheduling Form

Today's Date:  
Time:
Client's Name:
Department:
College/Unit:
Address:
Phone:
Fax:
Mail Slot:
Client's Account # for Services (If Applicable):
Videoconference Title:
Videoconference Date(s):
Videoconference Start Time(s)(Central Time Please):
Videoconference End Time(s)(Central Time Please):


Room Request Information
Estimated Number of Participants:
Scheduled Room is:
AV Requirements:
VP TV PH 2X
Screen CW CR