Local Reservation Information Remote location Information
 

Local Reservation Information :

Contact Person

Company Name
Address

City
Postal Code
Phone
Fax
E-Mail
ISDN / Video
Order Reference Number
Date
Start Time

End Time

Nature of VideoConference :

Type of Calling                              Dial Out                                 Dial In

Determines whether you wish Elmec to dial out to the remote site (Dial Out) or have the remote site dial in the rented videoconference room (Dial In)

Speed of Connection:            128 Kbps            256 Kbps            384 Kbps                                                Top 

Others (specify) :

                                                                                                                                                                                        

Remote location Information :

Contact Person
Company Name
Address
City
Country
Phone
Fax
E-Mail
If Available type of Video Conferencing System Yes           No
ISDN (Video) Number(s)
++____/(0)____/____________  
Date

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