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Postal: Suite 8074, 17B Farnham Street, Parnell, Auckland, 1052
0800 453 630 | 09 973 0187
nzsupport@choruscall.com

Video Conference Bridging

Customer Details
First name: *
Last name: *
Company name:
 Your Phone number: *
Your email: *
Video Conference Details
Date of event: *
Conference start time:
:
Time zone: *
Conference duration: *
Hours and Minutes		 Call type: *
Number of locations:
All Connection Details
Location 1
Location
 Connection type
 IP address / ISDN #
On-site contact name
 On-site contact phone
 On-site contact email
Location 2
Location
 Connection type
 IP address / ISDN #
On-site contact name
 On-site contact phone
 On-site contact email
Location 3
Location
 Connection type
 IP address / ISDN #
On-site contact name
 On-site contact phone
 On-site contact eEmail
Location 4
Location
 Connection type
 IP address / ISDN #
On-site contact name
 On-site contact phone
 On-site contact email
Location 5
Location
 Connection type
 IP address / ISDN #
On-site contact name
 On-site contact phone
 On-site contact email
Do you require the call to be monitored? *
Fully Monitoring of the call will give you advanced support:
+ operator dedicated for the full duration of your event instant support
+ quality assessment: statistics report of audio/video quality
Do you require a test call or run through?
If so, please specify a date for Chorus Call to confirm(extra charges may apply)
Additional Information:
*I confirm that information above is accurate. (Required)