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Reserve Equipment from Media Services

If you would like to reserve Media Services equipment, please take a moment to fill out the following form. When you have completed it, press the "submit" button at the bottom of the form. Your request will be sent to Media Services staff. You will be contacted via telephone or e-mail to confirm you order. Orders must be placed at least one working day in advance. If you are experiencing difficulties with the form or would like to speak directly to a Media Services staff member please call 6757.

NOTE: For same day use orders, please do not use this form. Please call the number listed above. We will do our best to fill your request with equipment that we have on hand, but we cannot promise a complete order on such a short notice.

* Indicates required information.
Personal Information:
First name *
Last name *
Phone: *
E-mail Address: *
Department or organization: *
Status: Faculty     Staff    Student    

Equipment Information:
Equipment needed: *
Where equipment will be used: *
Start Date: * (e.g. 05/25/2000)
Start Time: * a.m.   p.m.
End Date: * (e.g. 05/26/2000)
End Time: * a.m.   p.m.
Comments: