Video Conference Booking Form

Before proceeding, click here for instructions on how to complete the Video Conference Booking Form. Fields marked with an asterisk* are necessary to complete your booking.

Please Note

This booking form is only required to be completed if 3 or more Vivid VC Network connected sites are required to participate, or if you are requiring a connection with a site not on the Vivid VC Network (Offnet).
Please remember to include your own site on this booking form.
A minimum of 24 hours notice is required for bookings that have only VSL connected sites participating.
A minimum of 48 hours notice is required for bookings that include non VSL connected video conferencing sites within New Zealand or Australia.
A minimum of 1 week notice is required for bookings that include non VSL video conference network connected sites with a large time difference between countries, such as UK, Canada and USA etc.
Costs are involved in any connection to a non Vivid VC Network connected site (Offnet).

Conference Title
Conference Type
Single / One-off ConferenceRecurring Conference
Conference Date
Conference Start Time
Conference Finish Time
Recurring Conference Only
(please list all appropriate dates)
Organiser Details
Full Name
Organisation
Address
Phone
Email
Conference Options
Layout
Split Screen
PowerPoint Presentation
Vivid Connected Sites
Site Name 1
Site Name 2
Site Name 3
Site Name 4
Site Name 5
Site Name 6
Site Name 7
Site Name 8
Site Name 9
Site Name 10
ISDN / Internet
Site 1 Name
Site 1 Dial In / Out
Site 1 ISDN / Internet IP#
Site 1 Contact
Site 2 Name
Site 2 Dial In / Out
Site 2 ISDN / Internet IP#
Site 2 Contact
Site 3 Name
Site 3 Dial In / Out
Site 3 ISDN / Internet IP#
Site 3 Contact
Tick To Accept Costs
I accept that there will be extra costs associated with using ISDN
Ministry Of Health Charges Only (external calls)
Cost Centre
Project No.
Account Code
Billing Information
Full Name
Organistaion
Address
Phone
Email