Online Classroom Media Equipment Reservations

Please fill in the form below to request media equipment for classroom use only. 48 hour notice is required for classroom deliveries. Completion of this form does not guarantee delivery of the requested equipment. Equipment will only be delivered after you receive an e-mail confirmation from Academic Media Equipment Services. Borrower is responsible for all equipment from time of delivery until time of pickup.

Please fill out the fields below.

* Required fields

* Person making request

  

* Phone

  

* E-mail

  

*Date of request
(mandatory 48 hours before delivery date)

  

  Show calendar

* Date of Delivery

  

  Show calendar

Date of Pickup

  

 Same day
 Other:
  Show calendar

Delivery Building

  

Delivery Room

  

Delivery Time

  

Pickup Room

  

Pickup Time

  

Equipment requested

  

 35mm Projector
 Boombox with CD & Cassette
 Camcorder
 Cart
 Cassette Recorder
 Data Projector
 DVD Player
 Easel
 Easel with pad
 Laptop Computer
 Laptop Computer with Internet
 Laptop Computer with External Powered Speaker
 Record Player
 TV
 VCR

Other equipment

  

   

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