OnCampus - Audio/Visual Services Request

Audio / Visual Services Request Form

First Name:

Last Name:

E-Mail Address:

Phone Number:

Primary Equipment User:

*If other please supply information below

User First Name:

User Last Name:

User Contact Phone Number:

Event Name:
(If applicabable)

Index Code for Billing:

Event Number:

Start Date:

End Date:

Start Time:

End Time:

Building:

Room:

Will you need AV Tech assistance, other than delivery
and setup, with equipment?

Yes

* If yes, please specify a time frame you need on-site assistance

Equipment Needed

Additional Equipment

Additional Equipment
(please specify)

Comments and setup instructions for AV

Eastern Oregon University

Eastern Oregon University - One University Boulevard - La Grande, OR 97850-2899 - Phone: 541-962-3672