Faculty, staff, and students may request media equipment for delivery/pick up to PLNU classes.

24 working hours notice is required to guarantee the delivery/pick up will be scheduled.

Please read our Media Equipment Usage Policies for more details about events.

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Name: Phone Number: E-mail Address:  Enter a valid email address. Example: name@company.com Patron: Faculty Staff Student If student, what is your professor or staff sponsor’s name? ___________________ Course # or Event Title: Start Date & Time of Class or Event: -- 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 : -- 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 End Date & Time of Class or Event: -- 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 : -- 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 Special Request for Date and Time: Location: ___________________ Do you need a Media Operator? Yes No ___________________ Data Projector 01 Laptop Computer (PC) 01 Computer Speakers 01 Digital Presenter 01 ___________________ TV with DVD / VHS player 012 DVD / VHS combo player 01 ___________________ Digital Video Camcorder (for pickup only - cannot be delivered to classrooms) 01 Camcorder Tripod 01 ___________________ Sound System: N/AInstalled House SpeakersLiberty (PA) w/ (1) MicrophoneLiberty (PA) w/ CD player4 Inputs with Speakers6 Inputs with Speakers16 Inputs with Speakers Monitors 01234 Direct box 012345 CD / Cassette Player 01 ___________________ Microphone (Handheld Vocal) 012345 Microphone (Podium) 01 Microphone (Area) 012 Microphone (Wireless Lavalier) 012 Microphone (Wireless Handheld) 012 ___________________ Boom Box (CD / Cassette player) 01 Projection Screen 01 Slide Projector w/ remote 01 Overhead Projector 01 Flipchart 012 Easel 012 Other Requests / Special Instruction: