Skip to content. | Skip to navigation

Personal tools
You are here: Home Products & Services Media Support Health Sciences Campus Audiovisual Equipment Request

Health Sciences Campus Audiovisual Equipment Request

Document Actions
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.

(Required)
(Required)
(Required)
Please enter NONE if you do not have a GroupWise account
(Required)
(Required)
(Required)
(Required)
(Required)
MM/DD/YYYY HH:MM am/pm (NOTE: am/pm *must* be lowercase)
//   : 
(Required)
MM/DD/YYYY HH:MM am/pm (NOTE: am/pm *must* be lowercase)
//   : 
If this is for a semester order, please check day(s) of the week needed
          
(Required)
(Required)
(Required)
(Required)
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)