Request for Off-NSHEC Network Calling Assistance

 

 
NSHEC Site Name: __________________________________________________________________

NHSEC Site Contact: ________________________________________________________________

NSHEC Contact Phone Number: (_____)__________________  Fax: (_____)__________________

Date of Conference: _____/_____/_____

Time of Actual Conference: Begin Time: ____________a.m./p.m.  End Time: ____________a.m./p.m.

Has conference been scheduled through the NSHEC "Superusers"? YES / NO

Number of channels (2,6, 12, 24) desired (# based on amount of full motion required, budget and limitations of equipment at Off-NSHEC site. The Sprint Mtg. Chnl uses 6 channels) : #__________________

Name/location of Off-NSHEC Network Site: ______________________________________________

IMUX phone number for other site: (_____)______________________ OR

Number Sprint Meeting Channel gives you: (_____)_________________________

Site Contact at Off-NSHEC Network location: ____________________________________________

Off-NSHEC Network Contact Phone Number: (_____)________________________

Off-NSHEC Network Contact Fax Number: (_____)________________________

Type of equipment at Off-Network site (manufacturer/model/conversion software):

____________________________________________________________________________________

Type of IMUX at Off-Network site (manufacturer/model): __________________________________

Has Off-Network site been certified for Sprint Meeting Channel? YES / NO

Certification Number: ________________________________

Off-Net site's Sprint Meeting Channel account number (if split billing is desired):
_____________________________________________________________________________________

PLEASE FAX THIS FORM TO THE TANDBERG "HELP DESK"
(703) 709-4231 ATTENTION: TECHNICAL SUPPORT