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Belknap Campus Audiovisual Equipment Request

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This is for ordering aka audiovisual equipment for use in classrooms on Belknap Campus. Please call (502) 852-6465 if you need assistance completing this form.

Please note that any fields with a red box next to them are required.

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Please enter NONE if you do not have a GroupWise account
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MM/DD/YYYY HH:MM am/pm (NOTE: am/pm *must* be lowercase)
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If this is for a semester order, please check day(s) of the week needed
Monday  Tuesday  Wednesday  Thursday  Friday  Saturday
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Check all that apply
Camcorder & Tripod
Cassette Recorder/Player
CD Player
Computer Data Projector
DVD Player
Laptop Computer
i>clicker receiver (flash drive not provided)
Microphone & PA System
Overhead Transparency Projector
Mobile Codec (requires an ethernet connection & display)
Projection Screen
Slide Projector
Television (For use with VHS, DVD or Mobile Codec)
VHS Player (VCR)
Video Projector (for use with VHS, DVD or Mobile Codec)
Help Get Started (please detail below)
Enter any media needs here that are not listed above or any special instructions:
Please check this box if the instructor will be picking up & returning the equipment from Strickler 105
(if this request is NOT for a UofL Credit Course, account number/authorized name required)
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