Multimedia Services

Media Request Form

Name (Last, First):
E-mail Address:
Phone:
Department/Class:
Account Number:
(If not regularly scheduled class)

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Begin / Delivery : MondayTuesday WednesdayThursdayFridaySaturday SundaySeptemberOctober NovemberDecember JanuaryFebruary MarchApril MayJune JulyAugust Date: at a.m.p.m.

End / Pickup : MondayTuesday WednesdayThursdayFridaySaturdaySu nday SeptemberOctober NovemberDecember JanuaryFebruary MarchApril MayJune JulyAugust Date: at a.m.p.m.

Building: Hauge Administration Building Ramstad Hall Ingram Hall Xavier hall Eastvold Auditorium Olson Auditorium Memorial Gym Rieke Science Center Mary Baker Russel Music Center University Center Harstad Hall Other (please specify below)

Room Number/Name:

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Media Services DOES NOT deliver the following items:

• Portable Radio/Cassettes
• Digital Cameras
• Camcorders & Tripods
• Set-up of these items for non-classroom events may be arranged. We require that a patron be present for delivery and that a Responsibility Form be filled out and signed. Contact Multimedia Services at 535-7509 to find out more.

Select one: Self-Service Pickup and Return Delivery & Pickup Delivery Only Pickup Only

If you are unsure about the equipment you may need, please contact us at 535-7509 or media@plu.edu. Multimedia Services urges patrons who have computer/video projection needs to take special care in selecting a projector and addressing computer functionality and compatability issues. Call Multimedia Services at 535-7509 with any other questions you may have.

Equipment/media software you need, special notes: