Video Conferencing Request Form

Please provide as much information as possible.

Required fields are marked with an asterik.

Upenn Contact Info

Please provide your contact information

Far End Contact Info

Please provide the contact informationfor the far end of the confrenece

First Name

Is this person the technical contact?

Enter the far ends IP address if you know it

Event Details

If this is realted to a SAS class please provide the course #

 

:
:

If you selected other, please provide the building

If you selected other, please provide the room #