Order Number Lifespan: Request Tech Support Request A/V Conferencing and Live Event Support If you would like to request an Ambient technician to operate your conference or live event, or provide equipment, please complete the following form: RESERVATIONS MUST BE MADE AT LEAST 24 HOURS IN ADVANCE First Name * Last Name * Phone Number * Email Address * Address * City State * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Cost Center Number * Lifespan Department * Type of event * Conference Event Other Will the Presenter be using their own computer? (NOTE: If using a MAC, you will need to bring your VGA adapter) * Yes No Will computer images, like Powerpoint presentations, need to be viewed by the audience? * Yes No Event Start Date * Event End Date * Event start Time * Event End Time * Host Event Location * How can we help? Feel free to ask a question or simply leave a comment. TO SCHEDULE VIDEOCONFERENCING SERVICES Please go to your Lifespan Intranet, click the "Administrative Tab," then select "Telecommunications" under the "Departments" list and click "Teleconference Services" Comments / Questions * Lifespan Support Contacts Chris Phelanchrisphelan@ambientsound.com401-941-8500 ext. 118
