C.O.P. Request for Audio Visual Services

College of Pharmacy Request for A.V. Services * Required Fields
*First Name:	*Last Name:
*Phone Number:	Cell Number: Second Contact Number
*Email Address:	Date Needed: For a repeating request the FIRST date needed*
Class Day(s): Monday* Tuesday Wednesday Thursday Friday (Check all that apply)
*Start Time: 8 AM Earliest	*End Time: 5 PM Latest
*Classroom / Location:

Equipment Needed (Please check all that apply)
Television	35mm Slide Projector
Digital Video Camcorder	Document Camera
Videocassette Player (VCR)	Wireless Presenter w/laser pointer
Screen	Overhead Projector
LCD Projector	Laptop Computer for Presentation
Internet Access	Lapel Microphone
Podium Computer	Laptop Speakers
Lecturn w/ sound system	DVD Player
Other - please describe below
Additional Information / Details:
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Last modified: 08/16/2007 02:10 pm