Emory University School of Medicine
Information Technology Services Multimedia/AV Department
Suite AB51 School of Medicine Building
1648 Pierce Drive, N.E. Atlanta, GA 30322

Request for Multimedia/Audiovisual Equipment and Staff Support:
REQUEST TO BE MADE NO LATER THAN 10 DAYS IN ADVANCE OF SCHEDULED EVENT DATE

Fields marked with a * are required for submission.
*Requestor: Phone #:
Fax: *Email Address:
Name of Event: *Date(s) of Event:
Primary User: Primary Dept:
Function:    
Role





   
Notes:
 
Space Being Used:
 
Set-up Time:
Start Time:
End Time:
Take-down Time:
     
Is this event affiliated with the Emory University School of Medicine?
Is this event an Emory Transcript credit academic course?
Is this an Emory College, Graduate or Professional School Academic Event?
   
*****All reservations need Emory University FAS# to secure and to pay for any audiovisual needs.*****
*FAS Account# Dept #:  
Authorized By:      
Title: Date:  
 
DAILY RATES *****Rates subject to change without notice*****
Qty Item Flat Fee   Qty Item Flat Fee
LCD Data/Video Projector 80.00
VHS/VCR 20.00
Laptop/Desktop Computer 50.00
VHS Camcorder 75.00
Television/Video Cassette Player (Built-in) 40.00
Audio Cassette Player/Rec. 15.00
Microphone wireless Lapel/handheld 30.00
Overhead Projector 20.00
Microphone wired with stand ( Table, Aisle) 15.00
Slide Projector with remote 20.00
PA System (1 Mic, 1 Powered Mixer with 2 speakers 100.00
Flip Chart/Easel 15.00
Powered Speaker with 1 mic 50.00
Screen 20.00
Laser Pointer 10.00
Digitizing Video to a CD 50.00/hr
Videotape Duplication:  
DVD/CD Player 20.00
If Original Tape Less than 1 hour 5.00
Other
If Origianl Tape More than 1 hour  
Technician (Regular Hrs.) 25.00/hr
Videotaping Events (Equipment PKG) 100.00/hr
Technician (Overtime Hrs.) 40.00/hr

 
Labor Fees
      
Technical Service Fee: Regular Hours
(8am-5pm - Monday-Friday)		 hrs @ $25.00 per hour
  Overtime Hours
(Before 8am or After 5pm M-F, Evenings and Weekends)		 hrs @ $40.00 per hour
 
Total Charges: $    
From Account:    
To Account:
Charges Verified by: