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Your Contact Information
First Name    Last Name   
Email
Company Name
Phone No         Ext
Independent Videoconference Room Needed
1.CityStateCountry
2.CityStateCountry
Planned Conference Time
Date   
Time :   
Length hrs.
Room Requirements
Minimum Capacity
Peripherals Scan Converter
 Camera
 VCR Recorder
 VCR Playback
 Internet Access
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