RESOURCE REQUEST FORM
Please, for use by Region 8 ESC members and other approved parties only!
School:
Corporation:
Phone Number:
Media Coordinator: (Opt.)
Your Name:
Email Address: (Opt.)
Note: The more flexible you can be below, the greater
likelihood the reservation can be made for you.
While we make every attempt to honor all requests, those made
less than 7 days prior to the requested date are less likely to be filled.
Please remember all new requests and extensions must be
received by noon the day prior to your courier delivery day.
Resource / Video Number
1st Choice 2nd Choice Resource / Video Name Preferred Date Not Before Not After
Optional Comment:
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