A copy of your form submission will be sent to this address.
I will provide the course number below
This is for a non-credit course
This is not associated with a course
Credit Course #
Billing Contact Name/Address/Phone #:
Start Time (time of first speaker)
Name of Event
PLEASE NOTE: Theatre A (Gaspard) Requires an Operator at all times
Services & Equipment Required
Do you require a technician for any of the following?
Technician to operate equipment
Set up and/or start the equipment
Do you need any of the following systems?
Do you need any of the following microphones?
Number of podium microphones (single digit please)
Number of lapel microphones (single digit please)
Number of aisle microphones (single digit please)
Number of table/panel microphones (single digit please)
Do you require any of the following additional services?
Video / Audio recording (digital format)
Master Digital Disc
LIVE Webcast (streaming)
Video On Demand (VOD) / Archive file
Photography / Imaging
(MBtelehealth VC must be booked with MBtelehealth 975-7714)
Number of copies of Master Digital Disc
If you are human, leave this field blank.