One Time Event Media Services /
Equipment Request Form
Name: *
E-mail *
(must be @buffalo.edu)
Phone *
Department
Address 1:
Address 2:
City:
State:
   Zip:   
Date of Request
07/03/2008
Date Required * (mm/dd/yy)


All orders should have at least 2 business days notice.

Start Time (hh:mm AM/PM)
End Time (hh:mm AM/PM)
Location
Is this is a regularly scheduled Catalog Course


If Yes. pls. List your Course Number
If No. pls. List your Account Number

What equipment will you need?

Overhead Projector
(2) Overhead Projectors
Slide Projector
(2) Slide Projector
Microphone
Wireless Mouse (PC)
Wireless Mouse (MAC)
VHS VCR video playback
IBM computer projection
MAC computer projection
Digital Recording

Other equipment needs :
Comments :


UB


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