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Equipment Request Form

Event Title:
Person Requesting  Equipment: Phone:
Person Operating Equipment:
Class:  
Day: Time:
Room:    
Email confirmation:

Department:

Date and Time Month Day    
Special Event Yes 
No
   

Delivery time AM PM

Can be picked up at AM PM

(Please note: other reservations may depend on this equipment being picked up promptly - if you feel your event may run long, be sure to include this time in your reservation)

Make recurring every:

Until:

Delivery Location

Academic Center  

SCLS


SHSB


ADAnnex

SIRTI

South Campus Facility

Equipment Selection
LCD Projector                                                  Laptop Computer
*PolyCom (tele-video conferencing)          Slide Projector
Overhead transparency projector              Other (please explain below)

*please provide 15 minutes before the start of your event for setup and connection

Internet connection needed for laptop? YES NO

All rooms have active network connections however, due to limited resources, we still need to know so we can check the port to be sure it is active.  Some ports have been disabled.

Initial assistance needed with equipment? YES NO

(Please note - not provided by default)

Please list special instructions or needs as well as any information not addressed above for your request:


 

 

         
                         
                         
                         
 

Contact us:  waddlel@wsu.edu 509-358-7975 | Accessibility | Copyright | Policies
AV Media Services, Washington State University at Riverpoint, Spokane, WA, 99202 USA