Audio/Video Production Order

Please identify the type of technical support you need by completing the following form.
Please press the submit button on the bottom of the form when completed.
For further information please call Phil Adamo at (954) 201-6421 located in LRC, Room 135 

Your Name
Department
Phone
FAX
E-Mail
 (Required)
   

Time and date of videotaping:

Building and room number:

Cost Center name and number:

Authorization signature: (printing your full name here again will serve as authorization)

Is this request for an audio or video production?

Title for Audio/Visual:

Subjet matter:

Goal/Purpose

Who is your audience?

Total Length of finished project?

Format for copies?

(If you are requesting a mix of formats place an amount below under additional comments, if all the same check one)
Total numbers of copies needed?

 

Do you have talent(personnel) needed to act in you video/audio production?

Yes No

What kind of talent do you need:

Do you have a script for your production?
Yes No

If this project needs to be edited list the due date:

Additional Comments:

(Please save your confirmation page after you submit form)