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Reserving Multimedia Equipment

First Name:
Last Name:
Department:
Phone:
Email:
 
Please select days involved:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
If multiple days of the week are involved AND the times required are not uniform, please enter clarifying instructions in the Comments field below.
From Date: Format: MM-DD-YYYY
From Time: Format: HH:MM (AM/PM)
To Date: Format: MM-DD-YYYY
To Time: Format: HH:MM (AM/PM)
Building:
Room:
  Please deliver and pickup
I will pickup return
  Select equipment/service needed:
Smart Cart (with computer, data projector, DVD/VCR)
Data Projector
Laptop (PC)
Laptop (Mac)
Lab on a cart (16 laptops with wireless)
Screen
Digital camera
Unlock podium
Comments or extra Information: