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Media Booking Request Form
If you would like to reserve media materials for future use, please fill out the form below. Please include your name, e-mail address, department telephone number and the name of the college.
Your name
:
Department and phone
:
Course number:
Course name:
Email
:
College
:
Select College
College of Notre Dame of Maryland
Loyola College
Media One:
Title and call number of media:
Start Date or Pick-Up Date:
Library classroom 309 needed?
No
Yes
Room 309 dates and times if needed:
Campus Cable Use?:
No
Yes
Cable dates and times if needed:
Place media on reserve?:
No
Yes
Reserve dates:
Comment:
Go To Submit
Make Another Request
Media Two:
Title and call number of media:
Start Date or Pick-Up Date:
Library classroom 309 needed?
No
Yes
Room 309 dates and times if needed:
Campus Cable Use?:
No
Yes
Cable dates and times if needed:
Place media on reserve?:
No
Yes
Reserve dates:
Comment:
Go To Submit
Make Another Request
Media Three:
Title and call number of media:
Start Date or Pick-Up Date:
Library classroom 309 needed?
No
Yes
Room 309 dates and times if needed:
Campus Cable Use?:
No
Yes
Cable dates and times if needed:
Place media on reserve?:
No
Yes
Reserve dates:
Comment:
Go To Submit
Make Another Request
Media Four:
Title and call number of media:
Start Date or Pick-Up Date:
Library classroom 309 needed?
No
Yes
Room 309 dates and times if needed:
Campus Cable Use?:
No
Yes
Cable dates and times if needed:
Place media on reserve?:
No
Yes
Reserve dates:
Comment:
Go To Submit
Make Another Request
Media Five:
Title and call number of media:
Start Date or Pick-Up Date:
Library classroom 309 needed?
No
Yes
Room 309 dates and times if needed:
Campus Cable Use?:
No
Yes
Cable dates and times if needed:
Place media on reserve?:
No
Yes
Reserve dates:
Comment:
You will be notified by email or telephone for confirmation.
E-mail questions to Philip Fryer, Media Services at:
pdf@loyola.edu
OR
pfryer@ndm.edu
200 Winston Avenue • Baltimore Maryland 21212 • 410-617-6800
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