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Classroom Equipment Request Form

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User's Name:   Phone #:
Contact Name:   Phone #:

Contact Mailing Address

Building & Room: NYU Mail Code:
School: Department:
Contact Email:
Course#:
Course Title:
Account Number

Format: Acct-Fund-Organization-Program-Project
We cannot process without at least 12 digits. If your code does not contain 12 digits, please place zeroes in the fields that do not apply.

Provide the day(s) of the week for your event

M
 T
 W
 R
 F
 S*
  One Date
 Multiple Dates
*Support at 194 Mercer St. only.

Provide the first and last dates for standing orders

First: 
Last: 

Please provide actual start/end time

Start Time:  End Time: 
Location Building:  Room: 

TO GUARANTEE YOUR REQUEST WE REQUIRE TWO BUSINESS DAYS

Please Check All That Apply

Audio Playback/Voice Reinforcement

  •  Audio Cassette Player
  •  Compact Disc Player
  •  P.A. System with 1 Lapel Mic*
*Not available in all classrooms.

Video Recording

  •  Camera and Tripod. Video tape not provided.
    VHS-C Camcorder

Special Services

  •  Demonstration
  •  Training
  • Other Location: 

Video Playback

  • U.S.

  •  VHS VCR
  •  DVD

  • Foreign Format (PAL)*

  •  VHS VCR
  •  DVD
*Foreign Format not available in all classrooms.
  •  DVD/VCR Remote

Audio Recording

  •  Cassette Recorder. Audio tape not provided.

Projection

  •  Overhead Projector
  •  35mm Slide Projector
  •  Computer Projection
  •  Video/Data Projector
  • Other: 

Special Equipment

  •  Document Camera
  •  Slide to Video Converter

Comments

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