Chandler Ballroom AV Request Form Chandler Ballroom AV Request Form Request for audio visual equipment for Chandler Ballroom Notice:Completed form must be submitted at least 7 days in advance. Request for a technician should be made at least two weeks in advance. The Events AV Office does not provide music for events. The requester is to supply all music for their event. Thank you.User InformationName * RequiredDepartment * 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 Set-up by * Required MM slash DD slash YYYY Time: * Required : AM/PM AM PM AM/PM Name of Event * RequiredLocation of Event * RequiredBallroom Only Room ABallroom Only Room BBallroom Only Room CBallroom Room A&BBallroom All Rooms CombinedBallroom Outdoor PatioOther – Please specify in NOTES BelowEquipment Available – If no equipment is needed please select "No Additional Equipment" from the dropdownAdditional EquipmentNo Additional EquipmentAudio Wireless Handheld Microphones Quantity12345678 Wireless Lavaliere Microphones Quantity1234 Corded Microphones Quantity1234 Floor Monitors Quantity1234 iPod Connection Computer Audio Stage Lighting Front Stage Wash Colored Back wash Colored Uplights Podium Spot Laptop(s) Quantity123456 Projector & Screen Quantity123 Blu Ray/DVD player PowerPoint Audio or No AudioAudioNo Audio Confidence Monitor (shows presenter what is being shown on the projection screen) PowerPoint Presenter (clicker/remote) Internet Access Event Video Recorded Technician Requested For Duration of Event Additional InformationPresenters/Performer's NamePresenters/Performer's Phone NumberNotes Δ