SHARE YOUR PASSION
VCM Audio/Visual Request
Please submit at least 48 hours in advance.
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Name
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Email Address
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What kind of request is this?
One Time Only
Multiple Times
Recurring Request for Class
Long Term Check-Out
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Date
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Start Time
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End Time
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Location
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Class/Event
Date
End Time
Start Time
Location
Class/Event
Date
Start Time
End Time
Location
Class/Event
Date
Start Time
End Time
Location
Class/Event
Date
Start Time
End Time
Location
Class/Event
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Name of Class
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Class Location
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On which days does this class meet?
Monday
Tuesday
Wednesday
Thursday
Friday
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What time period does this class meet?
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Start Date
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End Date
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For what reason are these items being requested for long term use?
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Items Needed
Audio Recording Equipment
Audio/Video Cable
Bass Amp
Camera
Cart
Extension Cord
Extension Wheel
DVD Player
DVD Recorder
Guitar Amp
Keyboard w/ Amp
Instrument Cable
Mac VGA Adapter
Microphone
PA System
Projector
Tripod
Television
VCR
Other -
Please add any necessary details to describe what you will need so that your request can be filled properly. If you need multiple of any items, please note that here.
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Indicates Response Required