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Fill in
the fields in the following five steps for your
subscription package. We'll
get your account set up and send you an invoice via email.
It'll be great to have you. Please
don't hesitate to contact
us.
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Tell us who you are |
| *First
Name: |
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| *Last
Name: |
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| *Email: |
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| Title: |
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| *Phone
Number: |
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| *Organization: |
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| Street Address: |
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| City, State/Country,
Zip Code: |
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Agreements and Policies |
| *Terms: |
I accept the Terms of Agreement
Yes |
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[The terms are available as a text file
or as a pdf file.] |
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Fill in Your Subscription Details |
| *Subscribing Organization: |
Enter the name of the organization subscribing to the service. This may be different than your home organization entered above in step 1, and may also be limited to a single department or group.
Three Examples:
- University of Example
- Language Resource Center, University of Example
- International Research Collaboration, University of Example
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| *Subscription Package: |
150 port
hours for $2,000 each
300 port
hours for $3,000 each
600 port
hours for $5,000 each
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Additional Port
Hours:
(optional) |
Please Fill in HOURs, in multiples of 10, that you would like to purchase in addition to the base allotment of the subscription package you selected.
The Fee will be based on a rate of $12 per standard definition port hour, $24 per high definition port hour. |
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To whom do we send the invoice? |
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*
Send it to me
Send it to my billing contact below |
| First Name: |
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| Last Name: |
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| Organization: |
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| Email: |
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| Phone: |
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| Street Address: |
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| City, State/Country,
Zip Code: |
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Who is your Site Coordinator – your
required videoconferencing support person?
(more
about Site
Coordinators.) |
| *First Name: |
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| *Last Name: |
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| Title: |
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| *Email: |
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| *Phone: |
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| Cell Phone: |
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| Organization: |
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| Certification: |
Is this Site Coordinator certified?
Yes
No
(more about certification) |
| Training: |
Do you want to sign up for training?
Yes
No
(more about training) |
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| A copy of this information will
be emailed to you for your records. |
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| * Denotes a required field. |
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