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AV Equipment Request Form
Name:
*
Department:
Phone Number:
*
E-mail Address:
*
Reservation Date:
*
Month
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Delivery Time:
*
hour
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am
pm
May be picked up at:
*
hour
1
2
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5
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12
:
minute
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01
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am
pm
Recurring reservation?:
select...
One-time reservation
Monday
Tuesday
Wednesday
Thursday
Friday
Monday and Wednesday
Tuesday and Thursday
Until:
select...
End of current semester
End of current month
End of current week
Other (specify below)
Delivery Location:
*
select...
VADM (Administration Building)
VCLS (Classroom Building)
VELS (Engineering/Life Sciences)
VFSC (Firstenburg Student Commons)
VLIB (Library)
VMCB (McClaskey Building)
VMMC (Multimedia Classroom Building)
PL (Physical Plant)
VSSC (Student Services)
Room Number:
*
Equipment Needed:
*
LCD projector with PC computer
LCD projector with Mac computer
LCD projector (stand alone)
Video camera with tripod
35mm slide projector
Portable AM/FM/CD/cassette player
Portable sound system with mic
Digital still camera
Overhead transparency projector
Initial assistance needed with equipment?:
*
Yes
No
Additional information or instructions:
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