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SHARE YOUR PASSION
VCM Audio/Visual Request
Please submit at least 48 hours in advance.
Name
*
Email Address
*
Is this request for MECA?
*
Yes
No
What kind of request is this?
*
One Time Only
Multiple Times
Recurring Request for Class
Long Term Check-Out
Date
*
+
Start Time
*
End Time
*
Location
*
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
Name of Class
*
Building Address
*
Classroom Number
*
On which days does this class meet?
*
Monday
Tuesday
Wednesday
Thursday
Friday
What time period does this class meet?
*
Start Date
*
+
End Date
*
+
For what reason are these items being requested for long term use?
*
Items Needed
*
Audio Recording Equipment
Audio Aux Cable
Bass Amp
Guitar Amp
Extension Cord
Extension Wheel
Keyboard w/ Amp
Instrument Cable
Sound Reinforcement System
Projector
Other -
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.