ICL Guest-Special Equipment Form

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We are equipped with a PC; screen & projector; laser pointer & remote control (PowerPoint); DVD, CD, BlueRay Drives; HDMI or VGA adapter for laptops; USB Port for transferring files, and microphones.

Please fill out this form to request extra equipment needed for a presentation.

First Name *

Last Name *

Date of Presentation *

YYYY

Time of Presentation *

Time

End Time

Time

Email Address *

Location for Delivery *

Ford 122

Montag

Smullin

Goudy Commons (Wilson-Hines Rm)

Other:

Equipment Request (check all that apply): *

Laptop computer

Document Camera (Overhead Projector)

White Board

Extra microphones (please indicate how many in the "Other" entry below)

Microphone stands

Video adapter for Apple device (indicate device in "Other" below)

Special Software (enter name and/or other information in the "OTHER" line below)

Help carrying stuff in and out again

Help with setup

Table(s) (put number and size in "Other" below)

Chair(s) (put number and size in "Other" below)

Other:

Required

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