ETC Plasma TV Reservation Form


We have a 42 inch plasma TV in the T-Room that is used to display  programming for academic related functions.  Use this form to request additional information to be displayed on the TV.

All Fields Must Be Completed
All Presentations must be approved by Peggy Berry.
Once your presentation is approved, we will contact you.

Last Name:
First Name: Phone #:
E-Mail: Bldg. and Office #:
You are:
Undergrad
     Student     
  Grad
       Student 
Faculty     Staff
Type of presentation:
Video or    
     TV show  
Slide Show
     Presentation
Individual Slide
    during regular
    slide show
Other
Date of Presentation:
Month:
Day:
Start Time:
Presentation Affiliation:
Detailed Presentation description and comments:


Page Last Updated: Thursday January 19, 2006 08:53:48 AM -0600   Page Created By: Tom Ryan