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AV Services > EQUIPMENT REQUEST FORM
HOME > AV SERVICES > FORMS > EQUIPMENT REQUEST FORM 

Equipment Request Form

This form is sent to Audio Visual Services via e-mail for requests of the use of Audio Visual Equipment at the University of Alaska Anchorage. Requests made using this form must be made 1 business day in advance. This allows AV time to setup any special requests and e-mail back with a confirmation. Please be sure to double check your e-mail address. Requests are not considered confirmed until the customer receives a confirmation number via e-mail from AV staff.

 
Section 1 - User Information
First Name:
Last Name:
Email:
Telephone:
User Type:
Class: (i.e. ACCT 201)
 
Section 2 - Schedule
Delivery Date:
Pick-Up Date:
Time Begin - Time End: (Military Time i.e. 15:30) -
Recurring: (Select Day(s) of Week)
Monday Tuesday Wednesday Thursday Friday
 
Section 3 - Equipment Type
Audio Cassette Tape P/R Camcorder with Tripod
CD/Tape Player Convener
Data/Video Projector Visualizer
DVD Player Media Cart
Microphone - Standard Microphone - Tabletop
Microphone - Wireless PA System - Two Speaker
PA System - Table/Podium Projector - Transparency
Radio/Tape Player 16mm Film Projector
35mm Slide Projector VCR
VCR/TV Cart 35mm Wireless Remote
 
Section 4 - Delivery Information
Accessories:
Special Instructions:
Building:
Room:
 

   

 

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