Request a Webinar
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  CONTACT INFORMATION  
Requestor:  
Institution:  
Phone Number:
  Email Address:    
  REQUEST DETAILS
RTRN Activity:   Number of Participants:  
  Group Type:   Record Webinar? Send Info:
Group Name:   Number of Presenters:  
  Presentation?
  SCHEDULING INFORMATION
  Date Needed: (mm/dd/yyyy)

Participating Sites: (comma seperated)
  		Time Needed:

Time Zone:  Duration: (hours)
Participants' Email Addresses: (comma seperated)  

Presenters: (name and email address comma seperated)  
  Notice:
  If email addresses are not submitted, the requestor will be responsible for disseminating the access information to the group once it is received.
  Requests for teleconferences must be submitted 1 week in advance to ensure the scheduled date is available.
  Requests for video conferences must be submitted 2 weeks in advance to allow for testing with participating sites.
 

 

   

Funding provided by:ed by:

     

RTRN DTCC    Mississippi eCenter, Box 1800       1230 Raymond Road        Jackson, MS 39204     (601) 979-0332sp; 1230 Raymond Road        Jackson, MS 39204     (601) 979-0332