| Completed by: |
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Extension: |
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| Person responsible: |
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Department: |
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Event: |
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| Facility requested: |
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| Event date: |
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Year: |
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| Start event time: |
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a.m. p.m. |
| End event time: |
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a.m. p.m. |
| Setup and clean up time required: |
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| Approx. number of people expected: |
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| Special services requested |
| Enter a "Y" or "N" following the possible services needed below |
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| Housekeeping/Physical Plant |
Y N |
| Housekeeper On Site |
Y N |
| Please list any special setup needs -- tables, chairs, etc. |
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| Safety & Security |
Y N |
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| Computer projection needed: |
Y N |
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| VHS/DVD projection needed: |
Y N |
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| (Computer/video/projection needs must be coordinated with the helpdesk, x5555.) |
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| Sound details of the event |
| Sound & Lighting (ext. 5549) |
Y N |
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| 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: |
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| Choir microphones: |
Y N |
| Instrument microphones (guitar amps, piano, etc.): |
Y N |
| Direct boxes for instruments: |
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| 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? |
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| Video Record this event? |
Y N |
| If Yes, Account number to be charged? |
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| If you require Food Service, you must contact Todd Gallup, extension 4470, for specific arrangements. |
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