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Attend an Event Hosted Outside of OTN Form

Non-member Access to OTN Event Form

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Completed form will be submitted to Scheduling Service. Non-members: All mandatory fields indicated by an asterisk (*) must be completed if you wish to use your videoconference equipment to join an Ontario Telemedicine Network (OTN) Member hosted session.
Session Details Session Name: Date: MM DD YYYY Start Time (EST): : End Time (EST): : OTN Host Site: Request ID/TSM#:	Non-member Studio Information Videoconference connection: ISDN Number: OTN connects to non-members through Integrated Service Digital network (ISDN). If your system connects through IP, please state the bridge provider you will use to connect to OTN (if known):
Requestor Information First Name: Last Name: Title: Organization: Address: City, Prov: Postal Code: Telephone: Email:	Billing Information (if different than Request) First Name: Last Name: Title: Organization: Address: City, Prov: Postal Code: Telephone: Email:
Fees Non-members wishing to join an educational or administrative session hosted within the OTN will require approval by the session organizer. OTN’s Scheduling Services will seek approval for your request. If approved, the non-member will be charged an hourly access fee of $50/hr to join the OTN member organized session. This access fee is payable to the Ontario Telemedicine Network. All non-member systems must be certified with OTN. For those systems not already certified, a system certification and testing will be necessary and the non-member will be charged a one-time $50 fee in addition to the access fee.
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