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ITS Phone:

304.293.3631

its@hsc.wvu.edu

P.O. Box 9010

Morgantown, WV 26506

 

MDTV / AV Reservation Request Form

Please complete the entire form - Classroom Technology / MDTV cannot fill incomplete requests.
PLEASE NOTE: Requests are filled on a first come, first serve basis. The Classroom Technology / MDTV office cannot guarantee reservations without a minimum of 24 hours of notice (48 hours on weekends).

Required

*Name:
*Phone:
*Email:
Department:
Mailing Address:

MDTV / AV Equipment Request: (Select all that apply)

New Request:
*Pick Up Date:
*Drop Off Date:
*Time(s): Pick-Up / Drop-Off
*Event Name:
Cancel Request: Yes No
Original Pick Up/Drop Off Date(s):
Original Time(s):
Event Name:
Technician's Name (If Canceling Tech Support)
Change: Yes No
Original Pick Up/Drop Off Date(s):
New Pick Up/Drop Off Date(s):
Original Time(s):
New Time(s):
Event Name:

Equipment must be picked up in room G290A between 7:45a and 3:45p Monday through Friday.

Technical support is available during normal business hours of 7:45a - 4:15p Monday through Friday. Please call the Classroom Technology office at 293-0698 to ask for assistance.

**NEW - Charges apply for weekend and after normal business hours support.
See chart below for details:

HSC Clients
Time Rate
Weekend $25.20/hr
Evening (After 5pm) $25.20/hr
External Clients
Time Rate
Weekend $37.80/hr
Evening (After 5pm) $37.80/hr

Yes No  : AV Technician (Requires a minimum of 72 hours notice)
Technical staff do not pick up/deliver equipment to or from Classroom Technology.

Please make Classroom Technology aware of cancellations as soon as possible.

Yes No   : AV Cart
Yes No   : 35mm Slide Projector
Yes No   : Dual Slide Projector
Yes No   : 35mm Slide Projector Wireless Remote
Yes No   : Overhead Projector (with Cart)
Yes No   : Portable Overhead Projector
Yes No   : LCD/Single Lense Projector - MUST HAVE OWN LAPTOP
Yes No   : Super Cart (Computer, Projector)
Yes No   : TV/VCR (with Cart)
Yes No   : Portable TV/VCR Combo
Yes No   : VHS Camcorder
Yes No   : Camcorder Tripod
Yes No   : 16mm Film Projector
Yes No   : Screen
Yes No   : Easle
Yes No   : John Jones Conference Room Key (for after hour entrance only)

**NEW**

Yes No   : Turning Point Card Sets
Please select the room reserved for your presentation
Number of Cards Required   Carrying Case Size

Attention: Choosing a room location above does not confirm room reservations. If you do not have a room confirmation at this time please discontinue this request and complete the HSC Room Scheduling Form.

Please Note: There is software required via free download that you will need to configure your powerpoint file to work with this technology. If you require this software please click on the Turning Point Software link AFTER you submit this form.

Yes No   : Analog Conference Phone

Service Availability Listing
Room Outlet Extension
JJ-A A19 3-8337
JJ-B A17 3-8338
JJ-C A18 3-8339
JJ-1 A23 3-8331
JJ-2 A51 3-8331
JJ-3 A52 3-8331
JJ-Foyer A13 3-8331

Yes No   : VoIP Conference Phone

Service Availability Listing
Room Jack/Outlet
7601 24
7605 6
7606 29B
7607 27
7608 60
7609 48
7610 28B
7702 45
8601 D45
8603 D48
8605 13
8607 B57

Additional Comments and Information
Robert C. Byrd Health Sciences Center | P.O. Box 9010 | Morgantown, WV 26506-9010
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