Film & Video Purchase Request

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Instructional Development provides UCSB faculty with $50.00 for film purchases each quarter. This subsidy is dependent on annual budgetary allocation and it may not be used for University Extension courses.

Due to an increased volume of requests a $15.00 late fee will be assessed if the following deadlines are not met:
3 weeks notice for off campus orders
1 week notice for changes, cancellations of off-campus orders
$10.00 Service fee will be subtracted from allocation for each tape not submitted with a distributor and all pertinent information (Cost, Website link to purchase the film from, etc.)

Email *

Instructor's Name

Today's Date

YYYY

Department

Course Number

Budget Number (if over $50)

Your Phone Number

Department Phone Number

Note/Special Instructions

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