Please copy and paste this information to submit
your request. As noted below, you may submit either a hard or
electronic copy of this form.
SEASECS 2010 Equipment Request Form
Presentation Title: _______________________________________________
Your Name: ____________________________________________________
Telephone: _____________ Fax: _____________ Email: _______________
Please provide the following information:
I will require the following presentation equipment:
LCD Projector and Screen
I will require the following presentation equipment not listed above:
Please contact Dr. Judith B. Slagle email@example.com if you have any questions or need more information.
All speakers are requested to complete this Request for Equipment Form by January 15, 2010, and return it to Dr. Judith B. Slagle, Department of English, East Tennessee State University, P. O. Box 70683, Johnson City, TN, 37601. We will do our best to accommodate your request.