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Audio/Video Request Form

Requestor Information
Department:
E-mail Address:
Type:
Course:
Daytime Phone:
Evening Phone:
Please do not use your Social Security Number on this form.
Banner ID (if student):
Request Logistics
Please reserve only for time blocks during which equipment will be used.
Date(s) needed:
Times needed:
Room:
Equipment Requested

Note: Equipment is subject to availability and is assigned on a first-come, first-served basis. Please use the checkboxes to select your equipment.

Computer Equipment:


Television Equipment:

Projectors:


Other:

Note: Digital Camera is available to faculty only.



Training
I have been trained to operate the requested equipment by MetroCenter Technology Staff
Accessibility

Liability
Submit Request to the MetroCenter
Please submit A/V requests at least three business days before date needed.