Media Request Form - LMC @ GCC
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Identity Bar - Glendale Community College, Glendale, Arizona
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Media Request Form: Duplication and Conversion Services

Personal Information


Your Name:


Your Affiliation w/GCC
Faculty      Student      Staff      Other
Phone:


Email Address:


Department


Department Chair or Supervisor


Details of Request


Campus:    Main        North

Project Deadline:
 Must use mm/dd/yyyy format (ex. 02/14/2008)

Program or Event Title:


Choose Media:
Video        Audio        Photo        Computer       

Original Format:
Duplicate to:      

Number of Copies:

Any comments or additional information

Related Information Box

A media technician will contact you regarding your request.

This form is to be completed for duplicating video tapes, audio tapes, photographs, computer. Please complete the information requested. If you have questions, contact the Media Department, 623.845.3119.

Employees are prohibited from copying materials not specifically allowed by the 1) copyright laws, 2) fair use guidelines, 3) licenses or contractual agreements, or 4) other permission.



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John F. Prince Library - Glendale Community College - 6000 West Olive Avenue - Glendale, Arizona 85302 - 623.845.3109
Library & Computer Center - Glendale Community College North - 5727 W. Happy Valley Rd - Glendale, AZ 85310 - 623.845.4109
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Modified: Modified: February 27, 2012