ONLINE FORMS: Audio-Visual Equipment
FIRST NAME:
LAST NAME:
PHONE / EXT:
DEPARTMENT:
ROOM:
SHOW DATE::
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APR
MAY
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AUG
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NOV
DEC
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2007
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START TIME :
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AM
PM
END TIME:
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STANDING WORK ORDER SECTION ONLY!
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
> Special Instructions / Request for Unlisted Equipment
> Check the boxes for the equipment you will need
Audio/Video
Projectors
Multimedia
CASSETTE PLAYER
SLIDE PROJECTOR
ELMO/DOCUMENT CAMERA CART
CD PLAYER/BOOMBOX
LCD/ DATA PROJECTOR
DESKTOP COMPUTER & DATA PROJECTOR
DVD PLAYER
Miscellaneous
VIDEO RECORDING
VHS PLAYER / TV
DIGITAL CAMERA CHECK OUT
Custody Items*
MICROPHONE
SCREEN
LAPTOP COMPUTER/LCD
for OFF campus use only
OVERHEAD PROJECTOR
FLIP CHART
OTHER
* Custody Items require instructors to sign
equipment
in/out in room 1160.
Please submit your request to the Media Services office
one business day
prior to your "show date" for medical-based materials and/or equipment.
