Production Request U•H•C•O
Audio-Visual Deparment
Room 1238
Extension 3•1744, 3•2051
Or 3•0979
NAME DEPARTMENT (Faculty Advisor's name if work ordered by opto. student)

 



      FACULTY GRAD. STUDENT GRAND ROUNDS/OPTO. STUDENT RESIDENT STAFF




DATE IN DATE NEEDED TIME NEEDED PHONE OR MAIL BOX#;




SERVICES REQUIRED (mark with an X)
   ART/GRAPHICS    PHOTOGRAPHY    AUDIO/VIDEO    EQUIPMENT SET-UP
   SLIDES    FILM PROCESSING    SUPPLIES  OTHER:  






FINISHED PRODUCT TO BE (enter a number):
Total#                                       TOTAL#:      B&W          Color                                   TOTAL#:      B&W           Color                                                Total#
   LASER PRINTOUTS     SLIDES     5"x7" PHOTOS    AUDIO TAPES
   SIGN     2"x3" PHOTOS     8"x10" PHOTOS    VIDEO TAPES
   POSTER     3.5"X5" PHOTOS     11"x14" PHOTOS    OTHER









ADDITIONAL INSTRUCTIONS (continue on next page if neccessary)
I understand that by submiiting this work order I am personally liable for any infringment of the U.S. Copyright Law (Title 17, U.S. Code)