Video Conferencing Booking Form

				Invoice to (if different from information on left)
Company
Contact Person
Address:
Telephone:
Fax:

Conference Date & Time: (GMT)
Date:	Time: from	to
Rental charges apply to all reserved time. Minimum is one hour; half hour increments thereafter.

Type of Conference:	Point to point	Multi point
Speed of Conference:	112/128	224/256	336/384

For multipoint conferences:	Total no. sites:
	Bridge provider, if already booked:
	Algorithm: H.230 SG3 SG4 Other

List all sites you wish to reserve through IDRC:
City:	No. of Participants:	Name & Tel. of one Participant:

If this is a point to point conference, please list the non-IDRC provided by your company:
City:	Make:	Network:	Video Room Phone & Contact:	Video Dial-Up No.:
Do you prefer that your non-IDRC site initiate calls? Yes: No:

Booking made by: Company: Your reference:

Reservation Cancellation Policy
Notification:	Charges:
Less than 2 business days	scheduling fee and 100% of room rental
2-4 business days	scheduling fee and 50% of room rental
More than 4 business days	scheduling fee only
IDRC shall not be liable for any loss of use, lost profits, consequential or other damamges. IDRC shall not be liable for the failure of videoconferencing technologies. In no event shall IDRC liability exceed the amount of the room fee.