Date of Booking:
Start Time of Booking:
End Time of Booking:
Room Number (eg. AB142):
Name of Instructor:
E-mail Address:
Equipment (eg. TV/VCR): Select from list TV/VCR TV/VCR w/CC TV/DVD/Remote TV/VCR/DVD Combo TV/LD,Barcode Projector Projector/Laptop 8mm Camera Audio Tape Player CD Player Conference Phone Digital Camera Dukane (Filmstrip Projector) Edit Session Flipchart w/Markers Keyboard Laptop Computer Laser Pointer Live Video Record Microphone Microphone on podium Off-Air Record Opaque Projector Overhead Overhead/Screen Portable Stereo Preview Video Tapes Slide Projector Slide Projector w/screen Teleconference VHS Video Camera Video Projector/VHS Video Projector/DVD Video Projector w/ VHS Video Projector w/ DVD Wireless Microphone
Note: Due to high demand, computer requests should be verified with the Instructional Media Center (792-5315)
Videotape/VTR#
Title:
Enter comments/special instructions here. (Please hit <enter> at the end of each line)
All Media Requests should be made via e-mail require 24 hours advance notice