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The Robert C. Byrd Learning Center
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Media Services Work Order

Use this form to submit a media services work order or, if you prefer, CLICK HERE to download a printable version in PDF format.

* = required field

*Person requesting:
*Phone number:
(000) 000-0000
*I.D. bar code number:
*Date and time needed:
(Please allow set-up time)
*Building and room number:
*EQUIPMENT: (Check equipment needed or specify other needs in the fields below.)
TV/VCR
PA Equipment
Wireless Microphone
Standard Microphone
Multimedia projector
Overhead Projector
Laptop
Audio Cassette Recorder
CD Player
Dubbing
Screen
Slide projector
Cassette Player
Studio camera (Media Specialist must operate the camera)
Digital Camera

Other equipment needed or special instructions of needs or supplies:

Equipment needing to be repaired and room number:

We need 24 hours notice for equipment (set-ups and so forth) so that the equipment will be in the correct place waiting for you. Your I.D. will be used to check out all equipment. Please have your valid I.D. with you when you come to the library. You may be held responsible for any damages to the equipment while it is in your possession. To ensure that your audio/visual needs are handled promptly and accurately, we ask that you submit this form rather than call in your request. You may also use the printable form, AVAILABLE HERE. All requests will be confirmed by Wilbert Lively, Media Specialist.
   
 
 
 
 
 
 
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