First Name:
Last Name:
University email address: (ex: me@ustpaul.ca)
Other email address:
Phone number: ext.
Location: Laframboise Guigues
Room number:
Comment/Suggestion
Computer related issue
Telephone related issue
Audio-Visual request
Course Code:
Date of event:
Location of event: Laframboise Guigues
Is the event recurring? Yes No
If yes please indicate the dates below:
Equipment required: LCD projector Do you require a laptop? Yes No DVD Player VCR Web Conference (Skype) Overhead projector Other
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