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All requests must be made at least 2 business days in advance and are subject to availability. Requests can be made by using the form below, or by calling the Media Center at 201-447-7972
Contact Information
First Name
Last Name
Email Address
*
From Date:
+
Time:
Until Date:
+
Time:
Note: Enter AM or PM for times, such as 8:30AM or 7PM
Title / Call Number:
Catalog
Classroom:
*
Frequency:
One-Time Request
Weekly
Bi-Weekly
Monthly
Standing Order
Standing Order Day
Monday
Tuesday
Wednesday
Thursday
Friday
Items Requested
iPad Cart
DVD/VHS + TV
DVD/VHS + LCD Projector
PET Station
Boom Box
Wood Podium
DVD/VHS + CCTV
Multimedia Projector
Digital Presenter Station
Cassette Tape Recorder
Lecturnette
Slide Projector
Flip Video
Laser Pointer
Digital Camcorder
Video Tape Only
Clickers
25
30
35
42
60
Screen
60in
8ft
60ft
Other:
Acknowledgement of Liability
By submitting this form, I understand that I am fully responsible for the above equipment.
*
I agree
Additional Comments