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PUBLIC USE OF TRAINING CENTER <br /> aPIUP 13 Media Request Form - Auditorium <br /> PIJBUE UTILTf DISTRICT NO.1 �. ``� <br /> it e, - <br /> hcant: .L-( _iiI <br /> Name of App� 1,� 7 0 i„� <br /> ��„�'l 1 <br /> t <br /> Date(s)of Event: �• �.� <br /> Daytime Phone <br /> " �` �� S Email: 1�'1 int u <br /> Cell Phone L'7 'J I Ll r ac,31 <br /> EQUIPMENT(please check all equipment items you are requesting): <br /> • <br /> ❑Easel:Number of easels* <br /> *PUD does not supply easel pads or markers for outside groups <br /> MULTIMEDIA(please check all that apply): <br /> • <br /> `t'�..Proj ection � ❑Desktop ❑ Other device? <br /> Will you be using: 1-1'�t0p <br /> Operating system: <br /> Windows 0 Mac(requires a user provided adapter)❑ <br /> Other_______ <br /> :('Don't know <br /> Resolution of your device: Dis la Port❑ Other <br /> What laptop connection port do you typically use?; VGA g6 HDME ❑ P Y <br /> PUD provides the following connections:VGA-15pin,HDMI and DisplayPort. <br /> Note:PUD does not provide adapters that may be needed to connect your device to the connection. <br /> ❑Will you need sound from your laptop or other device amplified through the room sound system? <br /> c_i'Video Projection Type(check all that apply for this event) . <br /> Format: ciPowerPoint❑Blu-Ray❑DVD ❑Movie from video file on laptop❑ Other <br /> ❑ Wireless Internet(You will need to have a guest wireless access code) bycontacting the PUD TrainingPUD recommends testing your equipment prior to the event.This can be arranged <br /> Center Reception Desk to schedule an appointment. <br /> SOUND ACCESSORIES(These apply to Training Center Auditorium only.Please check all that apply): <br /> V Lectern(podium)microphone <br /> ❑Regular microphone on microphone stands:Quantity <br /> (maximum 4) <br /> ❑Regular microphone on table stands: Quantity <br /> maximum 10) <br /> ❑Wireless handheld microphones: Quantity (maximum 3) . <br /> ❑ CD player through Auditorirtn sound system <br /> I,( \( � S .. (User)agree to be responsible for replacement rrepair'to like <br /> ed bymisuse or abuse during my period. <br /> condition befoxe my use,of any equipment damag <br /> COMMENTS OR SPECIAL INSTRUCTIONS g Check and please write on the back of this form <br /> Please refer technical questions to the Training&Technology Center Coordinator at 425-783-8458 <br /> (email •uestions to'rschuler(&sno eud.com . <br /> FOR PUD STAFF: <br /> El Verify availability of equipment and inform technician of equipment requested <br /> ❑Microphones only for auditorium please notify Training Center Receptionist for customer invoicing <br /> FOR TECHNICIAN:If additional equipment is used, <br /> Page 18 <br /> REV:4/17 • 44 <br />