Conference Call Request Form

Please use the form below to request a conference call. NOTE: Before submitting this form, please call an NYU operator at 1-212-998-1212 to inform them that you would like to schedule a conference call. For services not described on this form, please contact your coordinating operator.

Requestor Contact Information

Your Name
Your Phone Number
Your NYU Email Address

Conference Call Information

Date of Call
Time of Call
Estimated Length of Call
Moderator's Name
Moderator's NYU Phone Extension
Moderator's NYU Email Address
Type of Conference Call	Type 1 Type 2 Type 3 Other—Please describe:
Ports Reserved
fame/Authorization Account Number
Do you wish to have the conference call recorded?	Yes No
Would you like entry and exit tones?	Yes No
Names & Phone Numbers of Participants Note: You only need to complete this section if the Conference Center will handle the setup of the call. For automated 800 number conference calls, each person joins the call using a passcode ID number.	Name: Phone: Name: Phone: Name: Phone: Name: Phone: Name: Phone: Name: Phone: Name: Phone: Name: Phone:
Toll Number
800 Number
International Number
Passcode ID
Connex Representative or Meeting Specialist