Video Profile Sheet

For More Information Call 1-208-282-3212

General Information

Company Name:
City:

Site Contact:
Phone #:
Fax #:

Email Address:

Billing Address:

Room Name:
Room ID:
Alternate Site Contact:
Phone #:
Fax #:

Email Address:

Technical Contact:
Phone #:

Equipment Information

Video Equipment Dial-up #:

(if applicable) 2nd BRI #:

(if applicable) 3rd BRI #:

1)
IP Connection #:

Brand of Codec:
Software Version:
Audio Algorithms Supported:

Is the equipment being connected
to a video bridge (MCU)?

Brand of MCU:
Software Version:

2)

2)

2)
Video Room Phone #:

Model:
Transmission Speed:
Video Algorithms Supported:

Yes
No

Model:
Video Long Distance Network Provider:

Profile Completed By:
Date:

Idaho State University

Video Profile Sheet