Your Name:
Your E-mail:
Cornell Department Contact:
Cornell account number to be billed:
Cornell account representative:
Conference Title:
Date of Conference:
Time:
Expected Length?:
Number of Conference Participants (in room):  
(30 max)
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?
Dave Frank
Vet College Educational Facilities
E-mail: daf4@cornell.edu
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
Yes No
If yes, please describe: