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AUDIO VISUAL EQUIPMENT REQUEST FORM
INSTRUCTIONAL MEDIA CENTER JOHNSTON HALL, ROOM 102
PHONE 288-7705 OR FAX 288-3424
Requests should be received 24 hours in advance. Orders for Monday morning must be made by Friday at Noon.
Confirmations will be made via E-mail if possible.
AV EQUIPMENT WORKSHEET
Personal Information
  Full Name

Department
E-mail (Required!)


Marquette ID

Phone

A.V. Equipment Request Information


Equipment Needed
(Enter the quantity of each item)
 Data Projector
Overhead Projector
VHS Player and Monitor
DVD Player and Monitor		 Description of Other Equipment
 
Pick Up Information

On Date:
At Time:


Return Information

On Date:
At Time:
  Delivery Location:

Classroom Videotaping Request Information
  On Date:
Start Time:
End Time:

Class Location:
Event Type:
Special Instructions:
 

or

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