Department Information Name: eMail Address: Primary Phone: Alt. Phone: Fax: Department Name: Department Address:   Event Information Event Name: Location: Start Date: End Date: Event Start Time: a.m. p.m. Event End Time: a.m. p.m.   Equipment Reservation  Items for Rent Cost to Rent Check Items Needed Quantity  Television Monitor $15.00  DVD/VCR $15.00  Easel $10.00  Pointer $5.00  Screen $20.00  Audio Conference Phone $20.00  Computer Projector $50.00  Laptop Computer $50.00  Podium w/Sound (Small Group) $25.00  Public Address System (Large Group) $50.00  Public Address System With Podium (Large Group) $75.00  Additional Microphone $5.00  Wireless Mircophone $20.00  Delivery and Setup Fee $15.00  Technical Operator (7:00am - 5:00pm Mon-Fri)  Excluding State Holidays $50.00/HR (or a fraction of an hour)  Technical Operator (Overtime - all times before or   after 7:00am - 5:00pm Mon-Fri) $75.00/HR (or a fraction of an hour)   Explain Services Needed