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Health Sciences Campus Audiovisual Equipment Request

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This is for ordering audiovisual equipment for use in classrooms on Health Sciences Campus. Please call (502) 852-7476 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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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
          
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Check all that apply















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 B224
(if this request is NOT for a UofL Credit Course, account number/authorized name required)