Equipment Request Form

In order to serve your computer and audiovisual needs for events, please submit your request no later than one week before the event. Last minute requests will only be met if there is time and if resources are still available after all other requests have been filled. You will be notified well in advance if your request cannot be filled. Equipment may be requested by sending email to media@sbc.edu, calling (434) 381-6184, or submitting the form below. Please note that fields in red are required.

Name: Date of Event: January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2006 2007 2008 2009 2010 Time of Event: 1 2 3 4 5 6 7 8 9 10 11 12 : 00 15 30 45 AM PM Event: Location of Event: Daytime Phone: Email: Event Notes:

Projectors: Overhead Projector Projection Screen Movie Projector (16mm) LCD Projector (I have a computer) LCD Projector with:     Mac     PC     Internet Connection SMART Board & LCD Projector with:     Mac     PC     Internet Connection Slide Projector Slide Projector with:     Wireless Remote     Telescopic Lens Sound: Boombox (CD and Tape) Tape Recorder:     Analog     Digital Microphone:     Regular     Wireless Podium Podium with Microphone Public Address System with:     Regular Microphone     Wireless Microphone     Boombox (CD and Tape)

Still Cameras: 35mm Camera 35mm Camera with Tripod Digital Camera Digital Camera with Tripod Video Cameras: Video Camera Video Camera with Tripod Digital Video Camera Digital Video Camera with Tripod 1/2" VHS Camera Video: TV TV with:     Cable     VHS     Beta     Multistandard Miscellaneous: Laser Pointer Tripod Conference Phone

Other Equipment or Special Request:

http://media.sbc.edu/request_form.html Last Updated: 1-9-2002

Direct comments to media@sbc.edu. This site maintained by the SBC Media Office.