UNICOM

Company Name:

Unicom ID:

(if Known)

Company / Billing Details

Company Details

Same As Company Details

Contact Name:

Address:

City:

State/Province:

Zip/Postal Code:

Country:

Telephone No:

Fax No:

Email:

Conference Details

Conference Date:

/ /

Conference Time (Karachi Time):

Start Time:

End Time:

Transmission Speed:

No of Sites:

Special Requirements:

Site # 1

City/location
No of People:
Call:	Place Receive

Participant Information:
Lead Participant Name:
Lead Participant Email:
Phone:
Fax:

Other Information :

Site # 2

City/location
No of People:
Call:	Place Receive

Participant Information:
Lead Participant Name:
Lead Participant Email:
Phone:
Fax:

Other Information :

Site # 3

City/location
No of People:
Call:	Place Receive

Participant Information:
Lead Participant Name:
Lead Participant Email:
Phone:
Fax:

Other Information :

Site # 4

City/location
No of People:
Call:	Place Receive

Participant Information:
Lead Participant Name:
Lead Participant Email:
Phone:
Fax:

Other Information :

Payment Details

Credit Card:

Card No:

Name appears on Card:

Expiry date:

Card Holder:

Type Of Card:

CREDIT CARD MAILING ADDRESS (must be completed if paying with a credit card)

Billing Address:

Billing Zip:

Cancellation Policy

Following cancellation charges will be applicable from the advance received from customer:
More than 48 hours notice : 25 % will be charge Total
More than 24 hours notice : 50 % will be charge Total
Less than 12 hours notice : 100% will be charge Total
*Plus any third party costs incurred (e.g. scheduling fee, catering, equipment hire, videoconference test calls etc.)
All charges are exclusive of tax

Yes, I accept Cancellation Policy