State of Arkansas New User Account Form                     

Use this form to establish between 1 and 4 New User Accounts for Automated Audio, Web, and Attended Audio services (Operator Assisted).  The AU number is your agency's four digit DIS billing number.  For Automated service, we recommend that you use a Room Number that is easy to remember such as your direct telephone number.  Once you submit this form you will receive an e-confirmation within two business days.  A physical card and fulfillment kit will be mailed to you via the US Postal service.

User Information 1

Account Holder Name:     Department Name:       

Address1:                       AU Number:           

Address2:                        

City:                                State:      Zip:        

Email Address:              

Telephone Number:           Fax:    

Desired Room Number:     Desired 6-10 digit PIN:           

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User Information 2

Account Holder Name:     Department Name:       

Address1:                       AU Number:           

Address2:                        

City:                                State:      Zip:        

Email Address:              

Telephone Number:           Fax:    

Desired Room Number:     Desired 6-10 digit PIN:           

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User Information 3

Account Holder Name:     Department Name:       

Address1:                       AU Number:           

Address2:                        

City:                                State:      Zip:        

Email Address:              

Telephone Number:           Fax:    

Desired Room Number:     Desired 6-10 digit PIN:           

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User Information 4

Account Holder Name:     Department Name:       

Address1:                       AU Number:           

Address2:                        

City:                                State:      Zip:        

Email Address:              

Telephone Number:           Fax:    

Desired Room Number:     Desired 6-10 digit PIN:           

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If you have any questions or have not received your confirmation email within 48 business hours, please call us at:

  866-338-6338 or  808-237-2250

 

 

 

Copyright © 2004 World Class Conferencing
Last modified: September 10, 2007