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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

Classroom Equipment Request

Please complete all fields in the form below.

Note: There is NO CHARGE for equipment used for course related work.
Requestor First Name:


 Requestor Last Name:
Phone:
Email Address:


Please indicate your category below:
 Faculty          Staff          Student

Student requestors only, please provide the name of your faculty adviser.

 
Course Title:

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

Select one: Recurring       One Time Request


Days of Class
                 

Location:
Department:


Select
Item Requested
Quantity
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
   
Comments:

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

Then, a confirmation of your equipment reservation will be returned to you via email within 24 hours.