MAGISTRATES COURT of TASMANIAVideo Conference Booking Request
Person Requesting Conference:Name: Telephone No.
Email: Your Reference:
Agency: Signature & Date:
Magistrates Court Matters Only:Parties Names: -v-
Court File No.: Magistrate:
Conference Details - Costs will vary for each conferenceAttendee/s to conference:
Date required:
Time (Tasmanian): Start: End:
Which site will make the Video Conference call?
Tasmanian Court Site Required:
Far End Site Details:Site Contact: Telephone No.:
Preferred Transmission Mode - ISDN or IP (please specify below):
ISDN:
IP Address:
Special Requirements:
Magistrates Court Use Only:
Please Indicate Preferred Payment Method:Tax Invoice (for existing accounts): Credit Card (Visa / Mastercard only): EFT: Attach copy of receipt
Name: Address:
Cardholder Name: WESTPAC
Card Number: BSB - 037001
Expiry Date: A/C - 267793
The booking form is to be submitted at least 24 hours prior to the scheduled court appearance
Please complete and return to appropriate Registry below:
BURNIE DEVONPORT HOBART LAUNCESTONPO Box 690, Burnie, 7320 PO Box 208, Devonport, 7310 GPO Box 354, Hobart, 7000 PO Box 551, Launceston, 7250Ph: (03) 647 77145 Ph: (03) 647 84351 Ph: (03) 616 57100 Ph: (03) 677 72945Fax: (03) 6173 0221 Fax: (03) 6173 0221 Fax: (03) 6173 0221 Fax: (03) 6173 0221Email: [email protected]
Email: [email protected]
Email: [email protected]
Email: [email protected]
