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Audio/Visual Request Form
Pricing may vary depending upon services and equipment requested. Audio-visual services require a minimum rate of $400/day (a 10-hour minimum at $40/hour).
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* Indicates required question
Point-of-Contact First Name
*
Your answer
Point-of-Contact Last Name
*
Your answer
Point-of-Contact Email Address
*
Your answer
Point-of-Contact Phone Number
*
Your answer
Event Name
*
Your answer
Event Date
*
MM
/
DD
/
YYYY
Event Start Time
*
Time
:
AM
PM
Event End Time
*
Time
:
AM
PM
Event Type
*
Speech / Presentation
Table Panel Discussion
General Assembly
Community Theater
Other:
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