DOJ Civilian Registration Form

Office of Legal Education
Justice Television Network

For C/KU Satellite Users Only

Use this form to register for a Satellite Teleconference event.
(If you experience server problems when submitting this form, please call 888 - 820-4898 toll free for further assistance.)

Please provide the following contact information: * Denotes required fields
Note that upon successful form submission a confirmation reply may take up to 24 hours or longer due to server and Internet traffic issues.

Event Information (Multiple selections allowed, hold control key down during selections)
You Must Use Your Cursor To Highlight At Least One Selection

Events Date(s)

Codes for broadcast platforms:
(1) = C/KU Analog Satellite & CDV Digital GETN/Warrior Satellite;
(2) = C/KU Analog Satellite Only;
(3) = CDV/Digital GETN/Warrior Satellite Only;
(4) = Limited Videoconferencing (ARNG DTTP, USA TNET, USN CNET, Dial Up)
(5) = Webcast

Need to
Review Event Description?
Visit this web site: http://www.dlnets.com/itv.htm

Estimated
Live Audience

* (0-?)

Estimated Videotape Audience

*

Point Of Contact Name

*

Phone

(Commercial)*

E-mail
*

Technician's Name

(if different than POC).

Technician's Phone

(if different than POC).

Technician's Email

(if different than POC).

Unit/ Organization

*

Address to send support material if any available from sponsor.
(Complete only if first time or new customer.)

Street address
*

Address (cont.)

City

*

State

*

Zip Code

*

Estimated
Viewing Room Capacity

Openfor Community Participation

(thru coordination with you)?

Site Type

Additional
Comments:

PLEASE, AGAIN NOTE that upon successful form submission a confirmation reply may take
up to 24 hours or longer due to server and Internet traffic issues.

Privacy Statement

	Event Information (Multiple selections allowed, hold control key down during selections) You Must Use Your Cursor To Highlight At Least One Selection
*Events Date(s)*	Codes for broadcast platforms: (1) = C/KU Analog Satellite & CDV Digital GETN/Warrior Satellite; (2) = C/KU Analog Satellite Only; (3) = CDV/Digital GETN/Warrior Satellite Only; (4) = Limited Videoconferencing (ARNG DTTP, USA TNET, USN CNET, Dial Up) (5) = Webcast
Need to Review Event Description?	Visit this web site: http://www.dlnets.com/itv.htm
Estimated Live Audience	* (0-?)
**Estimated Videotape Audience**	*
Point Of Contact Name	*
*Phone*	(Commercial)*
*E-mail*	*
*Technician's Name*	(if different than POC).
*Technician's Phone*	(if different than POC).
*Technician's Email*	(if different than POC).
*Unit/ Organization*	*
	Address to send support material if any available from sponsor. (Complete only if first time or new customer.)
*Street address*	*
*Address (cont.)*
*City*	*
*State*	*
*Zip Code*	*
Estimated *Viewing Room Capacity*
*Openfor Community Participation***	(thru coordination with you)?
*Site Type*
Additional Comments:	PLEASE, AGAIN NOTE that upon successful form submission a confirmation reply may take up to 24 hours or longer due to server and Internet traffic issues.

Hits since 27June 2003. Last revised: September 21, 2006 Copyright 2001 Distributive Learning Networks All Rights Reserved

Hits since 27June 2003.
Last revised: September 21, 2006
Copyright 2001
Distributive Learning Networks
All Rights Reserved