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Request A Web Conference

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Pl ease submit registration a minimum of one week prior to meeting.
For Web Conference Events [more than 100 connections with heavy support},
please submit your request one month in advance.
* Required Field

REQUESTOR INFORMATION

Requestor's Name:*

E-mail Address:*
Phone/ext:*

PRESENTER INFORMATION
Presenter's Name:

E-mail Address:
Phone:
First Time Presenter Yes No

CONFERENCE INFORMATION
Conferencing will benefit:*
staff volunteers members
Conference Type:* General Meeting
Training 		Product Demo
Other (Please Specify)
 
Frequently Recurring Conference: Yes No
Conference Name:
Date:
Start Time:
Duration:
Time Zone:
Number of Connections:
Projected Attendance:
International Participation: Yes No

COLLABORATION, MULTIMEDIA & AUDIO OPTIONS
Please specify which of the following Conference Center and audio options you will use.

Collaboration & Multimedia     Audio
Online Questions & Answers 1. I will be using conference call feature of my phone (free)
Application Sharing 2. Non-operator assisted Call (Toll-Free) 
Voice Over the Internet (VoiP) 3. Non-operator assisted call with international participants
Recording 4. Operator assisted Call
Multi-Media (Webcam or streaming audio/video) 5. I have already arranged a teleconference call. The phone
number and passcode for participants is:

In-conference technical support or monitoring requested    Yes No

Additional Info About Your Meeting


APPROVAL INFORMATION

Please be aware that a conference fee of $125.00 applies*. Additionally, if you have selected options 2-4 above for audio, you will incur audio conferencing charges, so this form must originate from an individual who is authorized to approve these charges or can be accompanied by an approving e-mail to: web-conf@ieee.org.

If you are a volunteer and are utilizing this service, you must get an account number and approval from your entity prior to setting up this meeting.

* Please see Service Plans for full details.

Account Number:
Approved By:
E-mail:

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