Reservation Request Form

Location: UMD > ITSS > Classroom > Request for ITV Connection

Request for ITV Connection

This form is for UMD Faculty and staff only.
Form must be filled out at least one week in advance of event.
Please fill in all fields with an *. Then select the "Send Us This Request " button.
If you need assistance completing this form, please phone the Audio Visual desk at 218-726-6222.

General Customer Information:
*Your Name:
*Email Address:
*Phone Number:
* Department/Organization:
Billing via CUFS or Invoice?
CUFS Number:
Or Invoice Billing Address:
Event Information:
Please note: This form must be filled out at least one week in advance of your event * Date of Connection:
* Start Time:
* End Time:
All non-university events must be insured. An insurance certificate can be provided or insurance can be purchased from Risk Management in the Twin Cities. For information, refer to Use and Lease by Non-University Groups .
Does this Event Require Insurance (non-university)?
Type of Event and UMD Charges:
* University of Minnesota Sites:	Duluth Twin Cities Morris Crookston Rochester Other
For each site selected above please specify location, room, contact person, and tech info if available.