Attachment A

AUDIOVISUAL REQUEST FORM
WATERMEN'S HALL AUDITORIUM

TODAY'S DATE:	_____________________________________________________
DATE OF SEMINAR / PROGRAM:	_____________________________________________________
NAME OF SPEAKER:	_____________________________________________________
NAME OF HOST & DEPT:	_____________________________________________________
ACCOUNT TO BE CHARGED:	_____________________________________________________

EQUIPMENT REQUIRED:	Slide Projector	_______
	Slide Tray	_______
	Remote Slide Control	_______
	Overhead	_______
	Laser Pointer	_______
	Wireless Mike	_______
	VCR	_______
	PowerPoint / laptop	_______

Please submit to Sarah R. Hamrick, Special Events Coordinator, 7 days prior to the seminar or program.