Repeating Schedule Media Request Form

Please use this form only for scheduled classes or programs that repeat at the same time and location.  If the class or program has more than one section, or if there are irregular intervals between each session, please submit separate requests for each of those sessions.

This form has been updated to allow multiple-day requests.  Simply check off which days of the week the request applies to.  However, if your event changes times or locations, you must still submit separate requests for those different times and locations.

Visit our SERVICES page to see the various AV services that StudioKSG offers.

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 or note any comments.  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 different times and/or locations!

Start date:        End date:         Day(s) of the week:  Mon  Tue  Wed  Thu  Fri

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 (if requesting digital video, list in comment box)

MICROPHONES
 video camera with technician (labor charges) podium
video camera without technician (setup only) hand-held # if more than one 

 audio tape recording

 lavaliere / clip-on # if more than one 
*if you need blank tapes, indicate so under Blank Media panel (tabletop) # if more than one 
 

Q&A (stand-up)

 # if more than one 
AV EQUIPMENT  

LCD projector (for computer, VCR, DVD)

COMPUTER & ACCESSORIES
transparency projector   computer / laptop   tablet PC
 35mm carousel projector  internet access
CD playback  audio output from computer to room speakers
 audio tape playback   check here if you are bringing your own laptop
 DVD playback  
audio conference / teleconference phone

 
digital photo camera (must be picked up) BLANK MEDIA (if requesting digital video tape, list in comment box)
 screen  #needed: video tape  CD-R
domestic VCR (standard VHS format)    audio tape  DVD-R
international VCR (PAL or SECAM format)                     
 television monitor  
 document camera  

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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