AV Equipment Repair Form
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indicates required fields
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Item Number:
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Equipment Type:
Audio Tape Player/Recorder
Camera (Digital)
Camera (Video)
Player (CD)
Player (DVD)
Combo VCR/DVD
DVD Player
Laminator
Projector (Overhead)
Projector (Film)
Projector (LCD)
Sound Equipment
Television
VCR
Video Camera
Other (...explain in "Problem Details".)
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Manufacturer:
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Model/Number:
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Serial Number:
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Problem Type:
Bulb Burnt Out
Mechanical Problem
No Power
Overheating/Fan Problem
Poor Image Quality
Won't Rewind
Won't Eject Tape/Cartridge/Disk
Tape/Film Feed Problem
Other
Problem Details:
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Building:
Administration Building
Chauncey Rose
Consolidated
Covered Bridge
Davis Park
Deming
Devaney
Dixie Bee
Farrington Grove
Fayette
Franklin
Fuqua
General Services
Hoosier Prarie
McLean High
North High
Honey Creek
Lost Creek
Meadows
Otter Creek
Ouabache
Riley
Rio Grande
Sarah Scott
South High
Sugar Grove
Terre Town
Thornton
Washington High
West Elementary
West High
West Middle
Woodrow Wilson
Contact Name:
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Contact E-Mail:
Room/Teacher: