Audio Visual Request Form
For Off-Campus Clients using AV Services while on the EOU campus
Business / Organization
Billing Address
City
State
Zip Code
Daytime Phone Number
User First Name
User Last Name
User Contact Phone Number
User E-mail
Event Name
(If Applicable)
Event Start Date
month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
year
2008
2009
2010
2011
2012
End Date
month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
year
2008
2009
2010
2011
2012
Event Start Time
hour
01
02
03
04
05
06
07
08
09
10
11
12
min
00
05
10
15
20
30
35
40
45
50
55
am
pm
noon
End Time
hour
01
02
03
04
05
06
07
08
09
10
11
12
min
00
05
10
15
20
30
35
40
45
50
55
am
pm
noon
Building
Choose a Building
Ackerman
Badgley
Hoke
Hunt
Inlow
Integrated Services Building
Library
Loso
Physical Plant
Quinn
Student Health
Zabel
Room
Will you need AV Tech assistance, other than delivery
and setup, with equipment?
Yes
No
* If yes, please specify a time frame you need on-site assistance
Equipment Needed
Choose One
Camcorder - Hi-8mm
Camcorder - Mini-DV
TV/VCR/DVD on cart
Portable 13" TV/VCR Combo
Data Projector - XGA (best)
Notebook Computer - CD/DVD and Zip Equipped
16mm Film Projector on cart
CaraMate portable Slide Viewer
Overhead Projector on cart
Opaque Projector (cart or portable)
Projection Screen
Camcorder - VHS Full Size
Tripod with Quick Release mount
PA System (give details in comments section)
Powered Lectern - Hoke Center ONLY
Cassette Recorder/Player
CD Player
LaserDisc Player
Extension Cord(s)
Maintenance (give details in comments section)
X-Box with up to 4 controllers
Other (give details in comments section)
Additional Equipment
Choose One
Camcorder - Hi-8mm
Camcorder - Mini-DV
TV/VCR/DVD on cart
Data Projector - XGA (best)
Notebook Computer - CD/DVD and Zip Equipped
16mm Film Projector on cart
Slide Projector with Remote
Overhead Projector on cart
Opaque Projector (cart or portable)
Projection Screen
Camcorder - VHS Full Size
Tripod with Quick Release mount
PA System (give details in comments section)
Powered Lectern - Hoke Center ONLY
Cassette Recorder/Player
CD Player
LaserDisc Player
Extension Cord(s)
Maintenance (give details in comments section)
X-Box with up to 4 controllers
Other (give details in comments section)
Additional Equipment
Choose One
Camcorder - Hi-8mm
Camcorder - Mini-DV
TV/VCR/DVD on cart
Data Projector - XGA (best)
Notebook Computer - CD/DVD and Zip Equipped
16mm Film Projector on cart
Slide Projector with Remote
Overhead Projector on cart
Opaque Projector (cart or portable)
Projection Screen
Camcorder - VHS Full Size
Tripod with Quick Release mount
PA System (give details in comments section)
Powered Lectern - Hoke Center ONLY
Cassette Recorder/Player
CD Player
LaserDisc Player
Extension Cord(s)
Maintenance (give details in comments section)
X-Box with up to 4 controllers
Other (give details in comments section)
Additional Equipment
(please specify)
Comments and setup instructions for AV
Click the "Submit" button to send information.
Contact AudioVisual Services:
Phone: 541- 962-3388, Fax: 962-3712
Information only: audiov@eou.edu