Media Center Request Form

Classroom / Event Request Form


* indicates required field


Requests must be made by 4:00pm two business days prior to the start date.


THIS IS A REQUEST ONLY. YOU WILL RECEIVE AN E-MAIL CONFIRMING THE EQUIPMENT AVAILABILITY.
Requestor
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*
*
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Equipment Needs
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*
*
 
Requests cannot be made for later than 05/17/2018.
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Days of the Week *              
*
Please enter event start time, we will determine appropriate set up time.
*
Equipment Needs *
 
 
 
 
 
 
 
 
 
  (List Title Below)
 
 
 
 
  (Describe Below)
 

Contact

Dan Sloan
Director of Customer Support Services

(315) 792-3282
(315) 792-3006
1600 Burrstone Road | Utica, NY 13502