Request for Multimedia and IT Services & Support

Request for Multimedia and IT Services/Support

Audio, Visual, Computer, Software Services and Support
Requestor's Name

First NameLast Name
Department/Ministry
Phone Number:
Please enter a valid phone number.
Email*
example@example.com
Purpose/Event Name:
Location Choice:
Event Start Date & Time:*

MonthDayYear
Date
Hour MinutesAM/PM Option
Event End Date & Time:*

MonthDayYear
Date
Hour MinutesAM/PM Option
Service Type (check all that apply):

AudioVideoVisual/PresentationOn-Site Support PersonEquipment Set-UpInternet AccessVirtual Meeting Schedule
Equipment Required:

Microphone/Audio SystemHandheld Mic(s)Lapel MicDisplay/TV/Smart BoardDVD PlayerLaptop/ComputerLCD ProjectPortable ScreenTablet/iPad
How many Tablets/iPads: Number. What will they be used to do: registration, check-ins, internet access.
Miscellaneous Aids & Supplies:

Flip ChartWhite BoardDry Erase MarkersDry EraserSharpie MarkersPensPencilsWriting PadsPresentation Pointer ClickerOther
Quantity of Supplies
Miscellaneous supply request will be directed to the office staff for purcurement. A Room Request must be completed and approved.
Media and Video Design & Development:

Video DevelopmentOn-Screen PresentationsAudio/Music Presentations
These services require a consultation with a specialist. You will be contacted in order to collection more details.
Should be Empty:

Request for Multimedia and IT Services/Support