A/V Equipment Request Form
Wantagh High School Audio Visual Department AV Equipment Request Form Contact email: [email protected] Contact phone: 516-679-6464
1. Name of Organization:*
2. Name of Person Responsible for Arrangements (Contact Person):*
3. E-mail Address of Contact Person:* (Please provide a valid email address below.)
4. Phone Number of Contact Person: (Please enter a valid phone number below, if necessary).
5. Date Equipment is Needed:* (Please indicate the date when the equipment is needed.) mm/dd/yyyy
6. Date Equipment is to be Returned: (Please indicate when you plan to return the equipment.) mm/dd/yyyy
7. Time of Day Equipment is First Needed:* (Please indicate the time when the equipment is needed.)
8. Please Indicate Each Item Needed:* (Please specify the number of items needed, when relevant.)
9. Please note any additional comments below.
For requirements or equipment not listed above, please contact the AV Department [email protected] or 516-679-6464.