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Video Services Work Request Form

In order to assure that staff will be available for your event, please contact Video Services as soon as possible for videotaping or dub requests (~1 week in advance).

Billing generally takes place through interdepartmental charges, unless other arrangements are made.

Event:
Location:
Date:
Time :	:
Approximate Length :	:

Contact Name:
Department:
Email:
Phone:

Notes for request:

Duplication Request:

DVD:		Quantity:
Web File
Requested Completion Date:

Method of Payment:

Departmental Account:		Fund #: