This is an online request form for Media Services equipment. Please review our equipment checkout policies before filling out this form. Media Services must be contacted at least forty eight hours prior to equipment check-out. Please note that this is a request form only. Media Services will contact you with confirmation when your request has been processed.

For additional information please contact Media Services Specialist Tom Finicle at 504-864-7170.

All fields are required

Your Contact Information

Name:

Phone number:

Alternate Phone number:

Your e-mail Address:

Affiliation: Student Faculty Staff

What kind of equipment would you like to reserve?

Media Services equipment may be checked out for up to 24 hours at a time, and all reservations are subject to our policies regarding equipment checkout. Faculty and staff may check out extended-loan laptops for up to two weeks at a time.

When do you need the equiment?

Date Needed:

Start Time: 12 01 02 03 04 05 06 07 08 09 10 11 :00 :15 :30 :45 AM PM

End Time: 12 01 02 03 04 05 06 07 08 09 10 11 :00 :15 :30 :45 AM PM

I will pick up and return this equipment.

I need this equipment delivered to:

Other Notes/Requests/Questions:

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