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Department of Mass Communications

Video Production Preliminary Request Form
Please complete and submit the form below to provide preliminary information about your event and to request video services. This form only informs the Department of Mass Communications about your event and does not confirm reservation. The Department will contact you concerning availability and further instruction.



Event Information
Event type:
(Example: seminar, workshop, concert, gala etc.)
*Event date:    [None] Select a Date Delete the Date
*Doors open (time):  
Hour:Minute (8:00)
*Requested taping time (enter time in hours:minutes):
  Before Event:
  During Event:
  After Event:
*Event location:
*Proposed deadline:  [None] Select a Date Delete the Date

Interview Information (optional)
Interviewees:
  1.  
  2.   
  3.   
 
Preferred setting for interview (outside, inside, office, etc.). Please be as descriptive as possible.    
   

Contact and Billing Information
*First Name:   *Last Name:
*Phone:  *Email:
*Dept. (Internal) OR
Organization(External):
Physical Address:  
If external organization, please complete.
City:    State:
Zip: