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Videoconferencing Reservation Form
Company Information
Company *
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(Check AmCham Members Database)
AmCham member Company Hourly Rates
AmCham Non-member Company  
Business Category * Special Offers
Activity
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Address *
Tel # *
Fax # *
Customer Information
Sal.
Name *
Job Title *
Direct Tel # *
Fax #
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E-mail *
How did you know about the service?
Session Information
No. of attendees
(At AmCham) *		  Extra charges (more than 10 attendees)
Attendee(s) Information*
Purpose *
Date *
Duration (Hours) *
Start Time * Cairo: (GMT+2) International Time Difference
Dialing Type
Dial-out (AmCham will dial) Dial-in
Conference Type
Point-to-point Multi-point
  • Dial-out: select country(ies) AmCham will be calling
  • Dial in: select the country will initiate the call
    		•
    Other parties’ location *
    Press the ctrl button to choose several countries
    IP IP Charges
    Real IP Address (AmCham will use 512 KBPS)
    ISDN Dial-out Charges
    Speed
    Speed is subject to availability of the ISDN lines
    ISDN 1 # (Remote Site)
    Please note that if ISDN numbers weren’t provided, no attempt of reconnection from our side would be possible
    ISDN 2 # (Remote Site)
    Test Date: *
    To be confirmed Specify Date
    Technical person E-mail
    Technical person Phone
    Optional Requirements Price list
      Data Show: Hours Number
      Overhead Projector + Screen Video Cassette Recorder (VCR)
      Sound System Flip Chart + Pens
      Laptop: Number of Laptop(s) Hours Number/Laptop
      Internet: Hours Number
    Catering Service Price list
     
    Coffee Break menu
     
    Lunch menu
    Catering service time Cairo: (GMT+2)
    Billing Information
    Billing Account Name *
    Billing Address *
    Billing Contact Person *
    Telephone *
    Fax *
    Email *
    Method of Payment *
    Online Payment (Visa/Master Card/BM Card)
    Offline Payment (Visa/Master Card/Amex/Diners Club)
    Cash
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    Bank Transfer
    Currency*
       
       
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