AV Equipment Repair Request

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Complete this form to report a problem with audio/visual equipment (e.g., LCD projector, Overhead projector, VCR/DVD player) in a classroom on campus. A technician will respond to make an appointment to troubleshoot the problem as soon as possible.

 
Contact Information (Fill in boxes)
First Name
Last Name
Phone (W)
(Cell)
Email
Campus Address
Department
Date & Time
Location of Problem (Fill in boxes)
Building
Room #
Specify the Problem
Room Availability: Please indicate when the room would be available for the technician to work. Be advised that the technician is only available Monday-Thrusday.
Day
Time   From  To
May the Technician work during your scheduled class time if necessary ?