IT Equipment Request

Information Technology Service, Equipment Request for your Event

Today's Date

Type of RequestPlease Choose

NameFirst, Last

Phone Number

Department

Building

Room Number

Issue Description

Email

Select a Date of Event

Event Location

Type of EventPlease Choose

Start Time

End Time

Event Contact

Event Contact Phone Number

Event Contact Email

Event Phone Number

Contact Department

Will this need to be photographed?

Yes

No

Video taped?

Yes

No

Please Check

Digital Equipment

Telephone

Power Extension Cord

Video/Camera

Laptop

Powerpoint Clicker

TV

Projector Set-up

Other

Other Equipment Required

Personnel Requested