NJIT Senate - Electronic Media Item Request Form
This form MUST be submitted two weeks prior to the requested event date. Late requests can be denied. Events will be responded to on a first come, first serve basis. All requests are subject to Management Committee approval.

The Popcorn Machine must be obtained directly from SAC.

Email address *
Club Name *
Member Submitting Request *
Your answer
Position on the Club Eboard *
NJIT Email *
Your answer
Telephone Number *
Your answer
Event Name *
Your answer
Event Date *
MM
/
DD
/
YYYY
Event is from: *
Time
:
Until: *
Time
:
Room Reserved *
Your answer
Equipment Needed *
Required
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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