EmailMe Form - Video Conference Room Reservation Request

Name *

First Last

Please list the name of the person who is completing this form.

Company / Organization *

Contact Phone *

### - ### - ####

Email Address *

Billing Address *

Technical POC -

(Name, Phone# and Email of IT person who will coordinate testing and technical issues)

Requested Reservation Date *

MM / DD / YYYY

Requested Reservation Start Time *

HH : MM AM/PM

***Please Note: Our offices are located in Eastern Time Zone. Please list requested times in Eastern Standard Time/Eastern Daylight Time for scheduling purposes***

Requested Reservation End Time *

HH : MM AM/PM

**Please Note: All times are to be listed in Eastern Time Zone.

Time Zone (of your location)

Please list your local time zone

IP Address (at your location)

Who will initiate the call?

We will dial in to your location

Please dial in to our location at the IP address provided above

A bridge will be facilitating the call.

Who will initiation the call?

We will dial in to your location

Please dial in to our location at the IP address provided above

Location 1 :

Please list the city,state and country of the location that will be SENDING the call.

Time Zone for Location 1:

Location 2 :

Please list the city,state and country of the location that will be RECEIVING the call

Location 3 / Additional Locations (if applicable) :

Please list the city,state and country of the location that will be RECEIVING the call

Time Zone for Location 2:

Add-on Services

Please list any Additional Comments, Additional Information or Special Requests below

Please list any additional information that we may need to facilitate your call.
**Please include in comments section all locations that will be included in any bridged or multi-site call.

Please list any additional Comments or Special Requests below

Please list any additional information that we may need to facilitate your call.
**Please include in comments section all locations that will be included in any bridged or multi-site call.

Terms and Conditions *

I accept these terms and conditions.

I acknowledge that I have read and agree to these terms of service. I understand that the fees associated with this reservation are for the specified block of the reserved time of the reservation without regard to usage. For conferences that exceed the reserved time slot, a minimum of one hour will be charged, after which charges will be incurred in fifteen minute increments.
I acknowledge that no cancelation fee will be charged for reservations canceled before the business day prior to the reserved date. A charge of one-half of the reservation fee will be charged if canceled on the business day prior to the reservation and the full reservation fee for cancellations on the day of.
I confirm that I am an authorized representative of the listed company with authorization to make this commitment on their behalf. I also understand that by making this reservation, no third-party billing will be facilitated by Morning Star Service Company, Inc., and I agree to pay the amount owed in a timely manner, not to exceed 30 days from date of invoice in order to avoid late fees. Late payment will be assessed a 10% per month fee on any outstanding balance and accounts that exceed 90 days past due are subject to collections.
A returned check fee in the amount of $40.00 will be charged on all returned checks. Morning Star Service Company, Inc. will not facilitate any 3rd-party billing, and by making this reservation I understand and agree that the company whose representative is making this reservation will be solely responsible for any fees associated with the reservation.
All users agree that Morning Star Service Company, Inc., Starkings Court Reporting and/or any owner, employee, contractor, staff, or other associated individuals or companies will not be held liable for any loss, whether real or inferred that occurs due to the use of this suite.