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Academic and Event Technology Services

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Academic and Event Technology Services
Florida Gulf Coast University
10501 FGCU Blvd. S.
Fort Myers, FL 33965 

Reed Hall, room 151
Phone: 239-590-7100
Fax: 239-590-7119

Email:itsprt@fgcu.edu

Special Event Equipment Request

Please complete all fields in the form below.
Requestor First Name:


Requestor Last Name:


Phone:



Email Address:


Please indicate your category below:
Faculty          Staff          Student          Other

Student/Other requestors only, please provide the name of your faculty adviser / FGCU Contact.

 

Event Name:



Our services are available from 8:00 AM - 11:00 PM Monday through Saturday

Date from:
Time from:
Date to:
Time to:

 

Approximate number of event participants:

Select one: On campus      Off campus

There will be an additional fee for Off Campus Setups

Location:


Department:
Sponsoring group:

Group category- Select one:
University-affiliated. Event requisite* to University business University-affiliated. Event NOT requisite* to University business FGCU student group or club Non-affiliated or revenue generating event

* Note: Requisite business is defined as any activity or event that is essential to the daily operation of the University

Select
Item Requested
Quantity
Unit Price
Total
4 Channel Soundboard
6 Channel Soundboard
8 Channel Soundboard
16 Channel Soundboard
28 Channel Soundboard
35mm Slide Projector
6" Speaker Pair
10" Speaker Pair
13" TV/VCR Combo Unit
15" Speaker Pair
20" TV/VCR Combo Unit
40" LCD TV
Air Mouse
Conference Phone
Countryman Mic Headset
Document Camera
DVD Camera
DVD/VCR Player
Easel
Flat LCD Monitor
Hand Held Microphone
Laptop
Large Whiteboard
Lavalier Microphone
LCD Projector
Overhead Projector
PCC Table Top Mic
Portable Lecturn
Portable Screen
Press Box
Small Whiteboard
Table Top Lecturn
Table Top Microphone
Wireless Hand Held Microphone
Wooden Lecturn
Special Services Required:
 Technician Moderation
   
Tech Moderation:
0

Estimate Agreement:
I acknowledge that the price listed is ONLY an estimate and subject to change after labor and other miscellaneous costs are included.


Non-afilliated and revenue-generating groups only. Enter name and address of organization to whom setup will be charged:


Payment Type:

Please enter your Banner Infomation
Fund: 

Index:

Org:  


Tax Exempt Organzation:

Comments:

A copy of your request will be sent to you on submission of this form.

A confirmation of your request and cost estimate (if applicable) will be returned to you via email within 24 hours.