Auxiliary Services

Audio Visual Request Form

This form does not book the room itself.

Technical Assistance

Do you require a technician to be available for assistance until the end of the conference?

Please note that scheduled technical assistance before 8am and after 4pm is charged overtime.
Requester Information
* Name:
* Phone:
* Email:
* Department:
* Index Number:
Location
* Building:
* Room:
Other: Building & Room
Date & Time
* Presentation Date: 3 days prior notice required
Presentation Duration (Actual Start and Finish Time of Presentation)
* Start: :
* Finish: :
Anticipated Use of Audio Visual System (Check all that apply)

Notes:
* Security:

Enter the code below, including spaces, as it appears to the right.

10 thirty 2014

Office

Location: Belfer Room 110
Telephone: 718.430.2112
Fax Number: 718.430.2488
E-mail: supservices@einstein.yu.edu
Office hours : Monday - Friday 9:00 a.m. - 5:00 p.m.

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