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Australia
1800 468 225
+612 8295 9000
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1866 366 2766
+612 8295 9000
China
10800 650 0155
+852 3073 0418
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800 901 603
+852 3073 0418
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000800 650 1158
+612 8295 9000
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001803 657 537
+65 6415 3698
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0120 941 635
+852 3073 0418
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1800 801 191
+65 6415 3698
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0800 443 589
+612 8295 9000
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1800 1651 0344
+65 6415 3698
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1800 468 2255
+65 6415 3698
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00308 651 1367
+65 6415 3698
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00801 651 529
+65 6415 3698
Thailand
001800 656 359
+65 6415 3698
United Kingdom
0800 169 9234
+612 8295 9000
United States of America
1866 409 7848
+612 8295 9000
All other countries
+612 8295 9000
+612 8295 9000
Important Info
Please complete the form below (* indicates a required field)
Company Information
ABN*
(new customers only)
Sales Rep Name
(if known)
Owner Number
(if known)
Company Name*
Billing Address*
City/Suburb*
State
(if applicable)
Post Code*
Country*
Are you a new customer?*
Yes
No
Your Details
First Name*
Last Name*
Phone*
(include area code)
Fax
(include area code)
Email*
(confirmation sent via email)
Mobile
(include area code)
Cost Centre Code
(for this call & appears on invoice)
Conference Sites
Please complete all details of the video conference sites you would like connected.
Site Location
Bandwidth
Leader Site?
ISDN / IP address
Contact Name
Room Phone
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128kbps
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384kbps
512kbps
768kbps
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128kbps
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384kbps
512kbps
768kbps
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128kbps
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384kbps
512kbps
768kbps
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128kbps
256kbps
384kbps
512kbps
768kbps
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128kbps
256kbps
384kbps
512kbps
768kbps
Conference Details
Conference Title*
(for easy reference)
Date*
(dd/mm/yy)
Start Time*
(24 hr format, hh:mm)
Duration*
(minutes)
Time Zone*
Is this a recurring video conference?*
Yes
No
If recurring, what is the frequency?
Daily
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Which Day(s)?
Mon
Mon
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Thurs
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Sat
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End Date
(dd/mm/yy)
Conference Options
Select the type of video conference features you would like:
Continuous presence
(multiple site on screen)
People and Content
Comms Line
VIP Operator Monitoring
Audio Line into video conference, for
lines
Voice Activated
[default setting]
Record to VHS
Record to DVD
Record to CD-ROM
Delivery Contact Name
Delivery Address
Same as billing
Alternate address
(specify below)
Street
City/Suburb
State
(if applicable)
Post Code
Country
Additional Info
Special Notes:
Type additional features, information, comments here
(Additional charges apply)