Video Conference Room Reservation Request
Name *

First
Last
Company / Organization *
Contact Phone #
Email Address *
Billing Address *
Technical POC -
(Name, Phone# and email of IT person who will coordinate testing and technical issues)
Requested Conference Reservation Date *

MM		/
DD		/
YYYY
Requested Reservation Start Time *

HH		:
MM
AM/PM
Requested Reservation End Time *

HH		:
MM
AM/PM
IP Address
Add-On Services
 Unknown 
 None 
 IP-ISDN Gateway 
 Multi-Site Call Bridge 
 Schedule Room in Additional Location 
Location(s) that will be called
Please list city, state and country of all locations that will participate in this call in the space provided above
Please list any additional Comments or special requests below
I acknowledge that I have read and agree to the terms of service as provided at www.oikcom.com .
I acknowledge that no cancellation fee shall occur for reservations if canceled with-in one full business day of the scheduled reservation time. A charge of one-half of the reservation fee will be charged if canceled on the business day prior to the reservation and the full reservation fee for cancelations on the day of.
 I accept these terms and conditions 
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