BRIDGING
BRIDGE RESERVATION FORM
Today's Date:
Company:
Contact Person:
Address:
City:
State: - Select - AL - Alabama AK - Alaska AZ - Arizona AR - Arkansas CA - California CO - Colorado CT - Connecticut DE - Delaware FL - Florida GA - Georgia HI - Hawaii ID - Idaho IL - Illinois IN - Indianna IA - Iowa KS - Kansas KY - Kentucky LA - Louisianna ME - Maine MD - Maryland MA - Massechusetts MI - Michigan MN - Minnesota MS - Mississippi MO - Missouri MT - Montanna NE - Nebraska NV - Nevada NH - New Hampshire NJ - New Jersey NM - New Mexico NY - New York NC - North Carolina ND - North Dakota OH - Ohio OK - Oklahoma OR - Oregon PA - Pennsylvania RI - Rhode Island SC - South Carolina SD - South Dakota TN - Tennessee TX - Texas UT - Utah VT - Vermont VA - Virginia WA - Washington WV - West Virginia WI - Wisconsin WY - Wyoming Zip:
Phone No.: (including area code)
Fax No.:(including area code)
Bill to: (if different)
Country:
CONFERENCE INFO
Please allow 15 to 20 minutes connectivity for your call.
Conference Date:
Time From: AM PM To AM PM EST
Total number of sites in the bridge call:
List all the sites for your conference:
Site 1:
Video No.: Speed: 768kbps 512kbps 384kbps 336kbps 256kbps 128kbps 2 x 64 2 x 56 Audio 56K Please select
Name/Phone No. Of Participant:
Site 2:
Video No.: Speed: 768kbps 512kbps 384kbps 336kbps 256kbps 128kbps 2 x 64 2 x 56 Audio 56K Please Select
Site 3:
Site 4:
Site 5:
(For additional sites please add in notes section below)
Type of Conference: (Check Only One)
VOICE-ACTIVATED - The site speaking becomes the site shown onscreen.
CONTINUOUS PRESENCE - Quadrants show each site onscreen.
CONTINUOUS PRESENCE WITH VOICE-ACTIVATED QUAD - A mix of both Continuous presence and Voice-Activated; voice-activates one or more quadrants.
SPEED MATCHING - Allows different speeds to communicate on one call. (i.e. two sites @ 2x64, three sites @ 384 and one site @ 2x56 all on one video conference.
AUDIO CONFERENCE - Audio calls only, no video.
Check only one:
DIAL OUT - The Bridge is Dialed OUT to each site.
DIAL IN - Each site is Dialing IN to the Bridge.
DIAL IN/OUT - Combination of Dialing In/Out.
Options:
Please consult with a Bridging Consultant to see if any of these options can be used with your conference.
LECTURE MODE
CONFERENCING VIDEOTAPE/STORAGE
CHAIR CONTROL
OPERATOR ATTENDED
DATA SHARING
CASCADING - (Need contact, phone number, company and subsequent port number and conference ID number)
AUDIO PORT - Add an audio dial in to your conference.
STREAMING/ARCHIVING - additional fees apply.
NOTES OR SPECIAL INSTRUCTIONS:
Purchase Order Number:
Credit Card: Visa MasterCard American Express None
Credit Card No./ Exp Date:
Credit Card Holders Name:
CANCELLATION POLICY:
Within 24 hours: 50% charges. After reservation: 25% charges.
* Please Note that if you do not see a Category or Product you are looking for please contact us at 1-888-YES-VIDEO or E-mail bridging@expeditevcs.com*