Video Conference Request 

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H323 clients on the REMC1 WAN

Conference Name *

Primary Contact Name *

Primary Contact Email *

Primary Contact Phone * 

* 

Other Pertinent Information 

Host/Presenter Site

Location Name *

Room

IP Address *

Extension 

Technical Contact Name *

Technical Contact Email *

Technical Contact Phone Number * 

Originating Call

Bridge Site

Site Name *

IP Address *

Extension 

Technical Contact Name *

Technical Contact Email *

Technical Contact Phone Number *  

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