Media Technology Services
The University Of New Mexico
114 Woodward Hall
Ph: (505) 277-9009
Fax: (505) 277-6908
email: vidconf@unm.edu

Videoconference Request Form


Please fill the text boxes with all the information available to you at the present time.


Your Name:
Your Email Address:
Job Title:
Department/Company:
Office Phone:
Name of the Conference:
Proposed Conference date:
Start Time (Mountain Time) :
End Time (Mountain Time) :
Number of People at UNM:
Type of Connection: IP     Unknown
Purpose of the Event:

Far End Videoconference Site Information


Location:     Contact Phone:
Codec IP Address:     Contact FAX:
Contact Name:     Contact email:


Sometimes a 2-way videoconference may involve more than two sites. To gain a better understanding of your conference please provide us with any information you have about the bridging facility that you intend to use.

Videoconference Bridge Information


Bridging Company Name:     Contact Name:
Bridge Location:     Contact Phone:
Main Phone Number:     Contact email:

Billing Information



Name:
Title:
Email Address:
Address 1:
Address 2:
City, State, Zip:
Phone:
Form of Payment:
Additional Comments:

      


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