Educational Technology Center - Tech Support Request Form - (413) 775-1842
1) Date of Event   2) Time of Event   - Start am/pm  - End  am/pm  
 
3) Name of this Event  

4) Contact's - First Name  Last Name                     

5) Name of Group, Org or Business  

6) Contact's Email Address 

7) Phone No. for Contact    8) Room Reserved     To View Room Photos  

9)  
   

10) Event Information - Please Check All That Apply so We May Provide the Proper Equipment & Staff
 (not available in all rooms)  
 
 
 
     
 
 

Additional Information: 

*Video Recording Requires Signed Releases from All Presenters Prior to Presentation.     Release for Recording