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MBC Audio/Visual Request Form
Submit request at least a week in advance. Forms take 3 days to process.
Upon receiving your request, MBC staff will determine availability of the equipment on the date(s) of your event. You will receive an email upon approval of your request.
First Name
*
Last Name
*
Date:
*
Phone Number
*
Email Address
*
Purpose/Event/Class:
*
Date Needed:
*
Time Needed:
*
Pick-up Date:
*
Return Date:
*
Equipment Needed:
*
Projector
Cables*
Projector Screen
TV/DVD
Sound Board
Monitor(s)
Microphone(s)
Speaker(s)
Speaker Stand(s)
*If known, list type of cables:
The undersigned agrees to accept responsibility for the use of these items and their return on the date specified in the same condition in which they were borrowed.
*
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Date:
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