Audiovisual Request

Department Information

Requestor Name

Requestor email

Requestor Phone Number

Requestor Fax Number

Department Name

Department Address

Event Information

Event Name

Location

Start Date

End Date

Set Up Time (Please be on site to show how you want setup)

Event Start Time

Event End Time

Equipment Reservation

DELIVERY AND SET UP ON CAMPUS ONLY [Fee not charged when using an ETS operator

Delivery to a location ON CAMPUS only: $40.00Office pickup at BSB 108: $0.00

Screen 6 foot ($40.00 each)

Screen 8 foot ($40.00 each)

Audio conference phone ($25.00 each)

USB Microphone ($25.00 each)

USB Camera ($25.00 each)

Computer LCD Projector ($100.00 each)

Laptop Computer ($75 each)

1 speaker PA System with CD Player and Wireless Handheld Mic ($100.00 each)

2 speaker PA System with CD Player and Wireless Handheld Mic ($200.00 each)

Add an Additional Wireless Mic ($25.00 each)

Podium ($25.00 each - On campus use only)

Technical Operator (7:00am - 5:00pm, M-F) Excluding State Holidays ($75.00/hr or fraction of an hour)

Technical Operator Overtime - all times before 7:00am or after 5:00pm, M-F ($150.00/hr or ea. fraction of an hour)

Technical Operator Overtime - Saturdays & Sundays - MINIMUM of 4 hours for an operator on weekends ($150.00/hr or ea. fraction of an hour)

Total for Services

Explain Services needed

Fields marked with * are required.

Reservations ARE NOT FINAL until they are confirmed by the Department of Audiovisual Services. If equipment is being delivered to a requested location, please include the delivery charge in total for services. You will receive a confirmation email when this is scheduled. Payment is due 24 hours prior to the confirmed event. Please submit an IIT to Regina Backman at backmanr@musc.edu.

Thank you.