FAU - IRM Instructional Resources

REQUEST FORM
AUDIOVISUAL MEDIA SERVICES-Boca Raton Campus
A department of Instructional Services/Information Resource Management
Office GS-114 Telephone (561) 297-3707

This form for reserving audiovisual equipment on the Boca Raton Campus Only

AVMS does not service the University Center, For equipment in the UC.
Please call (561) 297-3734

First Name

Last Name

E-Mail

Phone

Department

Event Type

Course #

Building

Room #

If this is a term order please check off the appropriate days of the week:

Monday Tuesday Wednesday Thursday Friday Saturday

Start Date

End Date

Start Time

End Time

LCD Projector (only)	PC Cart (Computer/Projector)	TV/VCR
DVD Player	Overhead Projector	16mm Film Projector
Microphone	PA System	CD Player
Cassette Player	Screen	Slide Projector

Special Instructions or Comments Here

After submitting this form you should receive a copy of your order provided as above. If you do not receive a copy within 24 hours please call 7-3707 to confirm your request.