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Av Equipment Multiple Setup Request Form

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Information Technology and Support Services AV Equipment Multiple Setup Request Form Must accompany AV Equipment Setup Request Form part A. Please be sure to print all information clearly. AV Equipment To Be Setup † Projector † Screen WO#_____________________________________ † Camera † Video Camera † Other ___________________________ Projector to be attached to: Desktop Make/Model: ______________________________________________________________________ Laptop Make/Model: _______________________________________________________________________ Location:_________________________________________________________ Address: _________________________________________________________ _________________________________________________________________ Room:___________________________________________________________ Number of Presentations:______________ (#________ of __________) Presentation Format/Media:_______________________ (Power Point, Publisher/Thumb drive, CD, etc.) Please ensure that each location has sufficient power outlets, network access, etc. to support equipment for planned activity. Extension cord needed? Yes/No _____________ Network cable needed? Yes/No ______________ Requested Setup Date: __________________________ Requested Time Frame:_____________________ (From - To) Completed by: _____________________________________________________________ Date:__________________ Please be sure to print all information clearly. AV Equipment To Be Setup † Projector † Screen WO#_____________________________________ † Camera † Video Camera † Other ___________________________ Projector to be attached to: Desktop Make/Model: ______________________________________________________________________ Laptop Make/Model: _______________________________________________________________________ Location:_________________________________________________________ Address: _________________________________________________________ _________________________________________________________________ Room:___________________________________________________________ Number of Presentations:______________ (#________ of __________) Presentation Format/Media:_______________________ (Power Point, Publisher,Thumb drive, CD, etc.) Please ensure that each location has sufficient power outlets, network access, etc. to support equipment for planned activity. Extension cord needed? Yes/No _____________ Network cable needed? Yes/No ______________ Requested Setup Date: __________________________ Requested Time Frame:_____________________ (From - To) Completed by: _______________________________________________________________ IT0047.2b Date:__________________