REMEC Program Request - External

Please complete this form to reserve space on the REMEC bridge for  interactive programs originating from outside of Munson Medical Center only. You must complete a separate form for each program you are requesting.

If you have not received your facilitator/login and participant information within 24 hours of submitting this request,please call REMEC at 57944 to confirm your request has been received.



Email  *Name of Program  *Type of Program  *Number of Callers  *Event Date  *Start Time (Please note AM or PM)  *End Time (please note AM or PM)  *Do you need a room for Munson participants?  *Number of Participants at Munson  *Scheduler's Name/Extension  *Facilitator or Contact Name/Extension  *Select REMEC sites where you expect participants. 

Additional Notes/Comments (Please provide any additional information to help us provide the best experience possible.) If you have any questions, please feel free to contact REMEC at 231-935-7944 or