Audiovisual Services - Equipment Request

If you request Audiovisual equipment at Northeast Philadelphia Campus and Woodhaven, please fill in the following form. Please note:
1. Request must be submitted 24 HOURS IN ADVANCE.
2. Please unplug equipment and wrap power cord when finished.

Fields highlighted by * are required.

Name: * DEPT.: *
Email: *
Phone (day): * Phone (evening): *
Date Required: *
To request the same equipment for multiple dates, please indicate each date.
Building: * Room: *
Start Time: *
 End Time: *

Equipment:
Camcorder/Tripod
Easel/PAD
DVD Player
Portable P.A.
Microphone
Slide Projector


Cassette Recorder
LCD Projection
Multimedia Unit (computer/LCD projector)
TV/VCR
Overhead
Laptop
Other

This equipment will be used at:
Northeast Philadelphia Campus Newtown Woodhaven

FOR SECURITY PURPOSES: Please answer the question below:
What is 3 plus 5? Answer (digit): *









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