Emory University -- Administration Media --

Request Services

Event Information
*Event:
Event Date:
Event Start time:
Event End time:
Building or Venue:
Room number:
Department or Student organization responsible for event:
Contact person(s):
First Name:
Last Name:
Daytime Phone:
Emergency Phone:
Email:
Emory FAS account number for program charges:
Program Audio Requirments: (enter number of each item needed)
Microphones	Audio Recording and Broadcast
mic on stand mic on boom stand mic on podium wireless handheld wireless lavaliere mic	Audio Record program Live Audio Web Broadcast *Post program on Media Server Provide feed for Broadcast Provide press mult-box
Accessories	Sound system (not needed in rooms w/ sound system)
CD Player Cassette Player Mini-plug for laptop XLR Mic level input 1/4'' line level input	small sound system mid-size sound system large sound system
Audio Special Instructions:
Program Video Requirements: (enter number of each item needed)
Projection	Video Recording and Broadcast
Data Projector RGB to computer DVD player VHS player Laser pointer	Video Record program Live Video Web Broadcast Post program on Media Server Provide video feed to Campus
Screen
8' tripod screen 10' x 10' Fast Fold 9' x 12' Fast Fold Pipe and Drape Stage
Video and Projection Special Instructions:
Other Special Instructions

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