PhD Capture
Sign in to Google to save your progress. Learn more
Order Form
Family Name *
Given Name *
Thesis title *
Department *
Date of the thesis defense *
MM
/
DD
/
YYYY
Time of the thesis defense *
Time
:
Location of the thesis defense (address) *
Email to reach you *
Phone number (mobile)
Please select your package *
You hereby allow the service "PhD Capture" from the firm "Lambda 2 Simulations" to proceed with the HD video recording of your thesis defense according to the package selected and to add this video to our online archives if you allow it. *
The firm "Lambda 2 Simulations" cannot be held responsible in the event of technical problems with the video recording equipment leading to unusable multimedia content. In such an unlikely event, the fees would not be invoiced to the client.
Required
You need additional informations? Contact us!
email : tkinsey@lambda2.ca
phone: (418) 609-4198
phdcapture.com
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report