Complete this form to request any type of IVC meeting. You will receive notification when the event has been scheduled or if we have questions.

Event Information:

• Event Name:
• Event Type:
  Video
  Audio Only (UEN has a Salt Lake City local number only.)
• Date of Event:
• Connect Time: 01 02 03 04 05 06 07 08 09 10 11 12 : 00 05 10 15 20 25 30 35 40 45 50 55 am pm
• Start Time: 01 02 03 04 05 06 07 08 09 10 11 12 : 00 05 10 15 20 25 30 35 40 45 50 55 am pm
• End Time: 01 02 03 04 05 06 07 08 09 10 11 12 : 00 05 10 15 20 25 30 35 40 45 50 55 am pm
• Do you want this meeting recorded?
  Yes
  No
  
   

Requester Information:

• Requester's Name:
• E-mail Address:
• Retype E-mail Address:
• Phone Number:

Other Information:

• Number of Video Locations:
• Number of Phone Lines:
• Other Comments, Information or Requests:

Note: If requesting Tech Room setup for the University of Utah EBC Location, please fill out the TSSC Technical Request Form also.

Verification Code:

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