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Services - MeetMe Conferencing Services - Site Certification

Room Information  
Company Name*
Site Name
Room Name
Room Phone Number
Address
City, State, & Zip
   
Main Contact Information  
Main Contact*
Phone Number*
Email*
   
Technical Contact Information
Technical Contact
Phone Number
Email
   
Billing Information (if different)
Billing Contact
Room Phone Number
Address
City, State, & Zip
   
Equipment Information  
Video System Type
Software Version
Software Update Password
Codec Serial ID
Hardware Serial ID
   
IP or ISDN Number  
IP Address
  1a 1b
  2a 2b
  3a 3b
  4a 4b
   
Additional Equipment (please include make/model)
  IMUX Serial
  NT Device Serial
  Monitor 1 Serial
  Monitor 2 Serial
  Doc Cam Serial
  DVD/VCR Serial
   
Additional Comments
   
   
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