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Auxiliary Services

Multimedia Request Form

This form does not book the room itself.

* This request is for...
   

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:
Presenter Information
* Name:
* Phone:
* Email:
* Department:

If Presenter is a YU or Einstein affiliate, please fill out the section below

   

Affiliation: If Other, Please specify
Purpose of Event
* Purpose:
Location
* Building:
* Room:
Other: Building & Room
Date & Time
* Presentation Date: 3 days prior notice required
Time the Room is Booked
* From: :
* To: :
Presentation Duration (Actual Start and Finish Time of Presentation)
* Start: :
* Finish: :
Anticipated Use of Multimedia System (Check all that apply)

Notes:
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