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Video Conference Reservation Form

Contact Information
Your Name:  
Your E-mail:  
Cornell Department Contact:  
Cornell account number to be billed:  
Cornell account representative:  

General Information
Conference Title:  
Date of Conference:    
JanFebruary 2018Mar

Expected Length?:  
Number of Conference Participants (in room):   (30 max)

Video Conference Equipment and Service
Remote site IP address:  
Remote site technical contact:  
E-mail, phone, cell phone of contact:  
Remote control room phone number:  
If you will be conecting with more then one remote site, please enter IP, Contact and Phone numbers here:
What time of day would be a good time to do a conference system test?  

Veterinary College Technical Contact:

Dave Frank
Vet College Educational Facilities
Cell Phone: 607 342 1191
Phone: 607 253 3696
Fax: 607 253 3901

Please submit this form at least 1 week in advance of your conference. Upon submittal, Dave Frank will be notified of your request. Please allow 3 days for scheduling and confirmation. If you have any questions, call Dave at 253-3696.

Are you interested in additional ancillary services?  More Info If yes, please describe: