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Online Media Request Form

 

 
NAME: *
E-mail Address: *
TELEPHONE #: *
DATE(S) NEEDED:
SEMESTER
DELIVER TIME: *
PICK-UP TIME *
ROOM NUMBER: *
COW
TV/VCR
TV/DVD
OVERHEAD
OTHER NEEDS & COMMENTS:
* Required
  • Requests should be submitted at least by 12 noon every Friday for the following week (Monday-Saturday).
  • Special needs require more time, and should be made known as soon as possible.
  • Any questions, contact Tom Vesci or Ben Durant
 
 


© 2007 Asnuntuck Community College
170 Elm Street Enfield, CT 06082
860.253.3000

This site is maintained by Ben Durant, Webmaster