CHIASMATIC x ENCOUNTERS

A/V Equipment Request Form: HELSINKI <> 2-7 JUNE 2005


NOTE: Complete this form ONLY after you have been notified by a Session Organizer or by the IAPL Executive Director that your paper has been accepted for the upcoming conference.

DIRECT ELECTRONIC SUBMISSION FORM

Please fill out the following information and press the SUBMIT button

Items with an asterisk (*) require a response.

Be sure to write out the name of the type of equipment needed (only the field information will be sent).

                                                                                                                                                                                          

*Last name *
*First names *
*Institution *
*City, State, & Country      *
*E-Mail *

VCR & Monitor?

Indicate which video system.

Indicate if you wish to use a DVD.

(We cannot assure that a DVD player will be available.)


Overhead Projector?

Slide Projector? Indicate whether you need more than one (e.g. Slide Projector x 1 or x 2).


Computer Display Projector?
CD Player?
If you have any special A-V needs or concerns, note them here.


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