Media Services Request for Service Form

All room requests must be made through external programming.
Please allow at least 48 hours after you get the room for us to fill your request.
Weekend requests must be made by 12noon on the Wednesday prior to the weekend.
Any questions please email media@wagner.edu or call x3410.

All fields required
Name:
Organization/Event:
Phone:
Email Address:
Event Location:
Did external programming confirm the room assignment?: Yes No
Equipment Needed:
Presentation Format: (Powerpoint, webinar, DVD, etc.)
Date Needed:	/ /
Start Time:	:
End Time:	:

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