Online Video Conference Request Form
if you wish to download a word version of this form click here
New Mexico Highlands University's
Educational Outreach Services
Video Conferencing Request Form
Agency/Department/Discipline/School
Address
City
State
Zip
First Name
Last Name
Phone
Title
*********************************************
Type(s) of Technical Services Requested (Check all appropriate categories)
Item Costs for Outside Agencies
If applicable
NONE
DEC Video Conferencing Facility $20.00/hr
Each Additioinal site: Multi point Conferencing - $22.00 to $27.00/hr per site
Intra-University Use Only
Faculty Dept./ Office Meetings
Orals
Board of Regents
Other
* Please keep in mind, that depending upon the site which you want to link to , you may be charged
*********************************************
Date(s) Requested: From / / to / /
Time(s)
Days ex:(M,T,W,Th,F,S,Su)
Sites Requested
Responsible Party for Payment
This form must be submitted One Week before the technical services begins.
Questions Contact Sharen Maldonado Phone (505) 426-2058.
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