Media Services - Rome

Date of Booking:

Start Time of Booking:

End Time of Booking:

Room Number (eg. AB142):

Name of Instructor:

E-mail Address:

Equipment (eg. TV/VCR):

Note: Due to high demand, computer requests should be verified with the Instructional Media Center (792-5315)

Videotape/VTR#

Title:

Enter comments/special instructions here. (Please hit <enter> at the end of each line)

All Media Requests should be made via e-mail require 24 hours advance notice