Audio Visual Request Form
Your First Name Your Last Name  
Email Address
Daytime Phone Number
Primary Equipment User
  If Other, please supply information below.
User First Name User Last Name
User Contact Phone Number
Event Name
(If Applicable)
Event Number
(if Applicable)
Index Code
for Billing		 Example: AAA-555
Start Date
End Date
Start Time
End Time
Building 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
Additional Equipment
Additional Equipment
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