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Completed by: Extension:
Person responsible: Department:
Event:
 
Facility requested:
Event date: Year:
Start event time:   a.m. p.m.
End event time:   a.m. p.m.
Setup and clean up time required:        
Approx. number of people expected:   
 
Special services requested
Enter a "Y" or "N" following the possible services needed below
 
Housekeeping/Physical Plant Y  N
Housekeeper On Site Y  N
Please list any special setup needs -- tables, chairs, etc.
Safety & Security Y  N
Computer projection needed: Y  N
VHS/DVD projection needed: Y  N
(Computer/video/projection needs must be coordinated with the helpdesk, x5555.)
Sound details of the event
Sound & Lighting (ext. 5549) Y  N
Sound assistant needed throughout entire event? Y  N
Sound assistant needed only at beginning of event? Y  N
Sound check time:
AM PM
Speaking microphone: Y N
Wireless lapel microphone: Y N
Vocal microphone:
Choir microphones: Y N
Instrument microphones (guitar amps, piano, etc.): Y N
Direct boxes for instruments:
Drum set or percussion needing microphones: Y N
Sound for Video, DVD, or computer: (you must also coordinate with the helpdesk ext. 5555 to get video projection, TV screen, powerpoint, etc.)
Y N
Audio Record this event? Y N
If Yes, Account number to be charged?
Video Record this event? Y N
If Yes, Account number to be charged?
If you require Food Service, you must contact Todd Gallup, extension 4470, for specific arrangements.