Main Content Current Site 2 Information Complete Requester Information First Name Last Name Department/Organization Phone Email UWNetID Billing Information Billing Name Address 1 Address 2 City State Zip Phone Email Event Information Event Title Frequency One-time Recurring Preferred Date and Time Start Date Start Time End Time Comments Alternate Date and Time Start Date Start Time End Time Comments UWT Site Information Participants Room Choice BHS 107 (internal and external clients; seats 40 at classroom tables; no food or drink allowed) SCI 104 (internal clients only; seats 10 at conference room table) WCG 322 (internal clients only; seats 16 at conference room table) CP 303 (internal and external clients; seats 16 at conference room table) No preference Presentation Features Needed Need to connect my laptop Document camera (for printed documents or transparencies) Projector and scan converter (for displaying computer screen) VHS Playback DVD Playback VHS recording of video conference (one copy only; charges apply) Comments Remote Site #1 Information Facility/Institution Connection Type ISDN Number IP Address Conference Contact Name Phone Email Technical Contact Name Phone Email Site 1 Comments Do you have another site? Yes No Remote Site #2 Information Facility/Institution Connection Type ISDN Number IP Address Conference Contact Name Phone Email Technical Contact Name Phone Email Comments Leave this field blank
