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Videoconferencing Room Request Form

This initial form allows you to request usage of a videoconferencing facility and does not guarantee your request. Please aid us in fulfilling your request by filling out the fields with the appropriate information. After submitting the form, a representative from Communications & Network Services (CNS) will contact the individual indicated on the form to verify room availability.

If you have any questions, please contact Ken Peters at (717) 871-5868 (or on-campus x-5868).

Step 1: Billing Information - Please read this step carefully

No fees apply for Millersville University use of these facilities but there may be long distance telephone charges for calls that use ISDN. These charges are likely to incur if Millersville initiates the call; in this case a budget code will have to be provided. ISDN videoconferences initiated by the other location, calls amongst State System of Higher Education Schools or h.323 calls will not incur charges.

The videoconference facilities are also available for use by non-Millersville University organizations for a fee. Please contact Dining and Conferencing Services at 717-872-3443 for rates and scheduling.

Step 2: Requestor's Information

(Person requesting videoconferencing facilities)

First Name:
Last Name:
Department/Organization:
Organization Code (for billing purposes):
Course Name and Number (if applicable):
Will MU be initiating this call? Yes   No
If yes, to where will the call be made:

Step 3: Contact Information

(Person to contact for all types of correspondence)

First Name:
Last Name:
Phone Number:
Email Address:

Step 4: Conference Information

Facility to be used:
Single Conference Date: (If multiple dates, please indicate in next question)
Multiple Conference Dates: (Please specify months or dates needed)
Start Time:
End Time:
Anticipated Attendance:
Has the user ever used the videoconferencing room requested before? Yes   No
Does the user need an orientation of the videoconferencing facilities? Yes   No
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