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ANJ & Video Portal Registration

ANJ VIDEO PORTAL REGISTRATION FORM

( * ) = Required Field

1. *Customer District:
(If this is not a school, please insert "n/a")
2. *County:
3. *Town:
4. *State or Other:

5. *Technology Coordinator or main contact person:
6. *Phone:
7. *e-mail:
8. Cell Phone:
9. Pager:

10. *School or Organization  Name:
11. Room #
(location of videoconferencing equipment
)
   
12. *Location Address:
13. Phone #
(in videoconferencing room, if available)
   
14. *Site Contact:
15. *Phone:
16. *e-mail:
17. Cell Phone:
18. Pager:

EQUIPMENT INFORMATION

19. *Codec Manufacturer: 
                                               (i.e. Polycom, Tandberg, Vtel, etc.)

20. *Model (i.e. ViewStation FX): 

21. *Year Purchased: Multiple selections is an option
22. Version of software installed on the system: (i.e. Vtel 1.3)

23. *Is Codec integrated into an existing ITV classroom?: Yes No

24. Or is it a Rollabout unit?

25. *Is the Codec connected with ISDN (H.320)?:  

      a. What is the ISDN calling speed? 
      b. What is the ISDN call in number?  (555-555-5555)

26. *Is the Codec connected with IP (H.323)?:
 

      a. Are you connected viaANJ Videoportal orInternet?
      b. What is your E.164 number? (Assigned by ANJ VP)
          Example: 3070010101 
      c. What is your Codec IP Address? (Assigned by ANJ VP)
          Example: 10.232.10.10
      d. What is your IP video bandwidth connection speed?

27. *Is your Codec connected with a public IP? 

      a. What is your video Codec public IP address?

28. *Is your video Codec via an ATM? 

      a. What is your virtual ATM number?
          Example: 207020220920
      b. What is your ATM calling speed? 

29. *Does your school have IDLS connectivity?: Yes No

30. *Password:         *Re-type Password:     
(6 characters minimum, 10 max.) You need this password to access all
the secure ANJ member service areas on the site including online
reservations, calendars, school directory, and account information.
NOTE: Please keep this password in a safe place.


31.
Is there any additional information we need to know?



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E-mail confirmations usually take 24 - 72 hours during normal business hours. The portal staff may contact you for any additional information needed to insure your proper registration. Thank you.

Having a problem registering?
Contact Video Portal staff

 


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