DDN Conference Scheduling Request Form

Please complete & submit

Customers Name:

Contact Person:

Address:

Email Address:

Phone Number:                                                              
   

Fax Number:
        

Account Category Please select one category that best describes your program.

Federal    State Government    Education    BOR    Profit    Non-Profit    BOR/9-12

9-12 Series    9-12 Event    6-8 Series    6-8 Event   K-5 Series    K-5 Event  

Professional Development

Conference Title:

Conference Date:                                   

Conference Start Time: (Central Time Zone)

Duration:

Host Site:

Public DDN Sites Select all sites you would like in your conference.
(Studio Capacity)

Aberdeen NSU (18)   Brookings SDSU 1 (24)    Brookings SDSU 2 (24)   Madison DSU (32)  

  Mitchell MTI (10)    Pierre A (20)    Pierre B (12)    Pierre CUC (25)   Rapid City RH (20)  

 Rapid City SDSM&T (24)  Sioux Falls STI  (27)  Spearfish BHSU (30)   Vermillion USD 1 (45)  

 Vermillion USD 2 (18)   Watertown LATI (27)

K-12 and other DDN sites: (These sites you will need pre approval by that sites)

 

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