REQUEST FORM
AUDIOVISUAL MEDIA SERVICES-Boca Raton Campus
A department of Instructional Services/Information Resource Management
Office GS-114 Telephone (561) 297-3707

This form for reserving audiovisual equipment on the Boca Raton Campus Only

AVMS does not service the University Center, For equipment in the UC. 
Please call (561) 297-3734

First Name Last Name
E-Mail Phone
Department Event Type Classroom UseGraduationSpecial EventStudent OrganizationOff-Campus EventEvent
Course #    
Building AdministrationUniv. Learning ResourcesCollege of Arts & LettersAthletic Field House WestCollege of BusinessDesantis Center PavilionStudent Activities CenterRitter Art GalleryTom Oxley Athletic CenterBiological SciencesEducationFleming HallGeneral Classroom SouthGymLibraryPerforming ArtsPhysical SciencesScience & EngineeringSocial ScienceStudent ServicesUniversity CenterUniversity Theater Room #

If this is a term order please check off the appropriate days of the week:
  Monday   Tuesday   Wednesday   Thursday   Friday   Saturday

Start Date End Date
Start Time End Time

LCD Projector (only)   PC Cart (Computer/Projector)   TV/VCR  
DVD Player   Overhead Projector   16mm Film Projector  
Microphone   PA System   CD Player  
Cassette Player   Screen   Slide Projector  

Special Instructions or Comments Here
 

After submitting this form you should receive a copy of your order provided as above.  If you do not receive a copy within 24 hours please call 7-3707 to confirm your request.