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Audio Visual Request Form

On-line requests require 48 business hours advance notice. All Audio Visual bookings are subject to equipment availability.

Please use the Audio Visual Request Form below to submit an online request.

Contact Information
Name * Required
First Last
Student/Staff Number * Required
Email * Required
A valid Brock email address is required for all bookings.
Phone Number/Brock Extension Number * Required
Department * Required
Booking Information
Course Number or Event Name * Required
Building Name * Required
Room * Required
Will the President be speaking at your event? * Required
- Yes
- No
Date * Required
MM slash DD slash YYYY
Start Time * Required

: Hours

Minutes

AM/PM AM/PM
End Time * Required

: Hours

Minutes

AM/PM AM/PM
Equipment Requested
Name
This field is for validation purposes and should be left unchanged.