LRC Media Reservation Request
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Faculty Name *
Email *
Course Name/Number *
(e.g. GERMAN 202)
Course Enrollment *
(Must be a number, e.g. 20)
Media Title *
Media Call Number *
Use LRC Catalog link at top of page or enter 0 if record isn't found
Media Usage *
Date(s) and Time(s) *
Description/Notes *
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