Video Conferencing Facility Resevation

Event Name  : 
User Type  : On-Campus User   Off-Campus User
 
Personal Information
Name  : 
Company/Organization  : 
Address  : 
Contact Number  : 
Email  : 

Video Conferencing Requirements
Contact
Company/Organization
 : 
Contact IP Address  : 
Online chat Contact
(Yahoo/MSN/Google Talk/Skype]
(optional, for troubleshooting)
 : 
Purpose  : 
Reservation Date
    Click here to add more reservation date
    Date Format : mm/dd/yyyy    Time Format : 24 hours (e.g. 07:00 - 18:00)
Date :    | Time Start :   | Time End : 
          Scheduled VDO conf. testing.
Special Requirements  : 
   (e.g.: Laptop/PC for presentation, Setting Arrangement)
   


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