Media Services

Equipment Request Form

Please submit only one form per course section.

For the best service we recommend that requests be made at least 48 business hours before the equipment is needed.


* Denotes required field

* Name
 

* Phone:
 

* E-mail
 
 

* Class code/Program Title
 

* Building
 

* Room Number
 

 * Day(s)/Date(s)
 

Times Needed (AM/PM):

* Start Time
 

* End Time
 

* Do you require this equipment for the entire semester?  

Equipment Needed (Check all that apply):

LCD projector:

TV monitor:

Video projection:


 


Other:

Once clicking the Submit button you should be directed immediately to a page confirming your submission.

**Please note submission does not guarantee the availability of equipment.  Once your order has been processed Media Services will send you a confirmation by phone or email.**

 

 

Copyright © 2009
Roger Williams University
Media Services Department