Videoconference booking form

Use this form to book the eRSA Meeting Room or the SAVRC for Access Grid or EVO use.

If you want to book either of these rooms for non-videoconferencing use, complete the facilities booking form.

Charges apply for some uses of eResearch SA services and facilities. In submitting this form, it is understood that you have read and agreed to the eResearch SA conditions of use and charges.

Please note that no food or drink are to be taken into or consumed in the Meeting Room (personal drinking water, in bottles, is acceptable).

Submission of this form does not guarantee your booking: you will receive email confirmation after your request has been processed.

If you wish to check availability of a facility prior to submitting a form, please phone the eRSA office (8303 6922).

Please aim to book at least one day ahead so we can ensure that the appropriate staff are available: more notice than this is desirable.

Required fields are indicated by asterisks.

Your details

Name: *

Email: *

Phone: *

Position: *

User Category (see Charges Page for more information): *

A (partner university: fundamental research, university-based research)

B (partner uni: non-research, e.g. teaching)

C (partner uni, commercial research; non-partner uni; Government; commercial partners)

D (non-university commercial research)

A (partner university: fundamental research, university-based research)
B (partner uni: non-research, e.g. teaching)
C (partner uni: commercial research; non-partner uni; Government; commercial partners)
D (non-university commercial research)

Institution details

Please complete this section if you belong to a university or educational institution.

Institution: *

Department: *

University of Adelaide Account Code: *

If you belong to any other institution, please enter "na".

External (including Flinders and UniSA) accounting details: *

Please add the necessary information to allow us to bill you correctly.

Project details: *

Please inform us about the project you're working on- project name, funding source, brief general description.

Company details

Please complete these details if you are a commercial user.

Company name:

ABN:

Postal address

Address line 1:

Address line 2:

Suburb:

State:

Postcode:

Phone:

Fax:

Booking information

Facility: *

Preferred date: *

Preferred start time: *

Preferred end time: *

Alternative date and time

Alternative date:

Alternative start time:

Alternative end time:

Multiple dates and times

Multiple dates:

Separate entries by a space

Multiple times:

Separate entries by a space

Number of attendess:

Type of booking: *

Is your booking for pure research, research administration or management, teaching or training, demonstration, commercial use or other (please explain).

Discipline area:

e.g. physics, social sciences, computing

Event description:

Please enter a brief description of the event, eg EVO meeting with presentation, demonstration, commercial meeting.

Virtual Venue (Access Grid) or EVO Meeting Title: *

Known participating sites: *

eg, CQU, Monash, University of Adelaide, VPAC.

Coordinator contact details:

Powerpoint or VNC details (Access Grid):

If you are using Powerpoint, which site will host the presentation?
If you are using VNC, what are the hostname/IP address and login/password details for the VNC session?

Other requirements:

Do you require any other facilities? e.g. electronic whiteboard (only at SAVRC) or Access Grid VCR recording, EVO connection to an H.323 system

Conditions of Use and Charges understood and accepted: *

Accepted