Eastern Michigan University
Eastern Michigan University
Eastern Michigan University
Thursday January 03, 2013

Library Hours: 8:00am to 5:00pm

Eastern Michigan University Library

Audio Video Equipment Request Form

Use this form to request equipment for use in the Bruce T. Halle Library building. For other buildings, audiovisual equipment will be delivered upon request of EMU Technology Support. Please contact them at 734-218-0921 for more information.

Event Information
Event Date :
(mm/dd/yyyy) 		Click Here to Pick up the date  
Time (hh:mm) Location

Special Instructions :

 
Deliver to:
Delivery Date:
(mm/dd/yyyy)		 Click Here to Pick up the date
Delivery Time:
Pickup from:
Pickup Date:
(mm/dd/yyyy)		 Click Here to Pick up the date
Pickup Time:

Equipment
Equipment Service Rental Qty.
1.  
2.  
3.  
4.  
5.  

Payment

Requisition   Cash   Check   N/C

Amount: ($0.00)

* If the equipment being requested is not directly related to an official university course listed in the semester course listings, then the usage of the equipment is deemed a rental. Payment is expected in advance, by university requisition, cash or check made out to EMU.

For more information, see audiovisual costs.




Faculty/Student Information
Faculty Last Name:
Faculty First Name:
Dept / School:
Phone #:
Email address: @emich.edu
Course or Event:
No of attendees:
Student Name:    E-Num:

Terms & Responsibilities

All the Yellow fields are required.

By clicking the submit button below, I assume all responsibilities for the care, security and return of any equipment/materials borrowed by me personally or by any person desinated by me: