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Belknap Campus MITC055 Videoconference Request Form

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For requesting Miller information Technology Center Room 055 (MT055). Please call (502) 852-6090 if you need assistance completing this form.
(Required)
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Please enter your GroupWise/ULink ID (enter NONE if you haven't one)
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Max Seating = 11
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MM/DD/YYYY HH:MM am/pm (NOTE: am/pm *must* be lowercase)
//   : 
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MM/DD/YYYY HH:MM am/pm (NOTE: am/pm *must* be lowercase)
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If this is for a semester order, please check the appropriate day(s) of the week needed below
Monday  Tuesday  Wednesday  Thursday  Friday  Saturday
(Required)
Please enter as much information as possible (including contact name/email/phone) about the location(s) with which you wish to connect.
Account Number OR Complete Billing Address
Please enter any other information here

NOTES
* Maximum seating for this space is eleven persons.
* Failure to complete the form will result in significant delays in scheduling a program.
* All cancellations or changes must also be submitted in writing by the original requester.
* 30-minute pre-program test is assumed (please do NOT include in program times)
* No facsimile machine is available
* Hours Available: Monday - Thursday 8:00am - 9:00pm ET, Friday 8:00am - 5:00pm ET
* Maps are available at http://www.ulcgis.org/mapopt.html
* Parking information can be obtained from the Parking Office at (502) 852-7275
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