Stafford Campus AV Request Form Stafford Campus AV Request Form Request for audio visual equipment for the Stafford campus Notice:Completed form must be submitted at least 5 days in advance. Request for a technician should be made at least two weeks in advance. Thank you.User InformationName * Required Department * RequiredEmail * Required Contact Phone Number * RequiredEvent InformationStart of Event * Required MM slash DD slash YYYY Time: * Required : AM/PM AM PM AM/PM End of Event * Required MM slash DD slash YYYY Time: * Required : AM/PM AM PM AM/PM When will the organization be arriving? * Required MM slash DD slash YYYY Time of arrival? * Required : Hours Minutes AM/PM AM PM AM/PM Name of Event * RequiredLocation of Event * RequiredUniversity HallUniversity Hall (section A Only)University Hall (section B Only)University Hall AtriumNorth Building Classroom #107North Building Classroom #108North Building Classroom #109North Building Classroom #110North Building Classroom #114North Building Classroom #115North Building Classroom #122North Building Classroom #126North Building Classroom #127North Building Classroom #210North Building Classroom #217North Building Classroom #252North Building Computer Lab #123North Building Computer Lab #124North Building Computer Lab #125South Building Classroom #106South Building Classroom #108South Building Classroom #204South Building Classroom #205-206South Building Classroom #207South Building Classroom #224South Building Classroom #225South Building Classroom #226South Building Classroom #227-228South Building Suite #210South Building Computer Lab #121Other Location (Please specify in NOTES Below)Equipment Available – If no equipment is needed please select "No Additional Equipment" from the dropdownAdditional EquipmentNo Additional Equipment Microphones (University Hall) Podium Mic01Wireless Handheld012Wireless Lavalier012 Laptop(s) Quantity12345 PowerPoint Audio or No AudioAudioNo Audio PA System DVD Player Projector & Screen PowerPoint Presenter (clicker/remote) Ipod Connection Webcam (Skype) Internet Access Technician Requested For Duration of Event Additional InformationPresenter/Performer's Name Presenter/Performer's Phone Number Notes Δ