University of Southern Indiana

Audio/Video Request Form

This form is to be completed by USI EMPLOYEES to borrow equipment for university-related activities ONLY, and is NOT FOR PERSONAL USE. A university account number is required- charges may apply. Questions? Call us at 812.465.1080.

Audio/Video Request Form




x0000

Optional



If you are in need of portable equipment, such as projectors or PowerPoint presenters, those can be checked out from Rice Library.

Location

If not listed, choose Other Room at the top of the list

Equipment Delivery






mm/dd/yyyy

Enter dates below in mm/dd/yy format. For example, if you need equipment on all Tuesdays in October of 2017, you would enter the following: 10/04/2017,10/11/2017,10/18/17,10/25/2017.

(For a week-end class, choose Friday for delivery and Monday for pick-up. Please lock the equipment in your office or classroom.)


mm/dd/yyyy


mm/dd/yyyy

Ex: 3:30 PM

Ex 04:45 PM
Special Events

Ex: 5/18/17 8:00AM-4:30PM





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