Media Request Form

For video conference requests, please use the video conference request form.
For a repeating request for a class or event, please use the repeating schedule request form.
Visit our SERVICES page to see the various AV services that StudioKSG offers.

Please enter your information below and press SUBMIT when done.  For billing information, be sure to check out the PRICING section.  For training or special requests, please use the text box at the bottom of this form to provide detailed information.  Please fill out all fields completely.

To guarantee support, requests must be made at least 3 days in advance.
 

Your name:                      Phone number:   

Email address:  

Affiliation:                                     Department:       

Class / Course / Program:    

Faculty / Staff / Sponsor:     

Separate requests must be submitted for multiple dates and/or locations.

Service date:                Start time:           End time:  

Location / Room:  
 
Billing code:         -    -      -    -    -   -  
Notes:  The default object code for AV services is 8250.
            Events running after 6pm or on weekends require a billing code for liability. (Other charges may apply.)
             For information requests use zeros for the billing code.

Please select equipment and services:                                                                                         Need help? (opens new window)
 

TAPE RECORDING (for digital video, request in comment box)

DIGITAL PHOTOGRAPHY  (labor charges)
 video camera with technician (labor charges) event photos with photographer on-site
video camera without technician (setup only) digital photo editing (list details in comment box)

 audio tape recording

  
*if you need blank tapes, indicate so under Blank Media MICROPHONES
 

podium
AV EQUIPMENT hand-held # if more than one 

LCD projection (for computer, VCR, DVD)

 lavaliere / clip-on # if more than one 
transparency projector panel / tabletop # if more than one 
 35mm carousel projector Q&A / stand-up # if more than one 
CD playback

 
 audio tape playback COMPUTER & ACCESSORIES
 DVD playback   computer / laptop   tablet PC
audio conference / teleconference phone  check here if you are bringing your own laptop
digital photo camera (must be picked up)  internet access
 screen  audio output from computer to room speakers
domestic VCR (standard VHS format)  
international VCR (PAL or SECAM format) BLANK MEDIA (for digital video tape, request in comment box)
 television monitor  #needed: video tape  CD-R
 document camera    audio tape  DVD-R
   

PRODUCTION
 duplication / encoding / editing (specify in comment box - charges apply)

Additional services needed,  special requests, or comments:




For more information please call us at 5-0493 or email us at media services request.
 




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