Home   |    HSSEAS Webmail   |    HSSEAS Conference Rooms   |    Organizational Chart   |    e-Bulletin Board   |    Useful Links   
  Home  >  Audio and Visual Services Request

Audio and Visual Services Request

All fields are required unless otherwise noted.
Requester Information
Requester Name:
Requester E-Mail:
Requester Room Number:
Requester Extension:
Instructor/Authorizer Information
Name:
E-Mail:
Recharge Information
Recharge ID:
Event Information
Event Type:
 Lecture -  Course #: 
 Meeting
 Seminar
 Oral Exam
Event Title:
Delivery Information:
Date:   Time:  
 
Day(s) of Week Needed:
(Hold down Ctrl key to select
multiple days)
 
Location:  
Return Information:
Date:   Time:  
Equipment Needed:
(You can select more than one)
 Digital Still Camera
 Digital Video Camera
 DVD/VCR Combination with Monitor
 Laptop Computer
 Overhead Projector
 Public Address System
 Portable Screen
 Slide Projector
 Tripod
 Video Data Projector
 Wireless Microphone
 Other - Please Specify Below
Special Instructions:
(optional)

   


Related Links
About Audio Visual Services
Other Service Requests
Boelter Penthouse Area Reservation
E-IV Patio Reservation
Facitlities Service Request
MSR Order
SEASnet Service Request
SEAS Shop Work Order Form
  HSSEAS Logistics and Materiel Management - Boelter Hall 2685 - Phone: (310) 825-7882 - Fax: (310) 825-0761
 www.matserv.ucla.edu