Public Affairs Gooseneck Microphone Reservation Form
This form requires a minimum of 24 hour notice to pickup time. Microphone(s) must be delivered back to Public Affairs within 30 minutes of event end. If event is after hours, microphone(s) must be delivered by 9:30 a.m. to Public Affairs the following day. Failure to return microphone(s) will result in loss of privilege for 1 semester.

You will be notified, via email, to confirm your reservation pickup time and date and with any adjustments based on availability. Reservation of microphones will be on a first come first serve basis.

Questions on this form or your reservation can be directed to Kelly Pacino at kellypacino@gwu.edu.

First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Program/Institute/Organization *
Your answer
Required number of gooseneck microphones *
Date of event *
MM
/
DD
/
YYYY
Time of event *
Time
:
Name of event *
Your answer
Location of Event *
Date requested for microphone pickup *
MM
/
DD
/
YYYY
Time requested for microphone pickup *
Time
:
Submit
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