Change Order - Page 1

This form is for making a change to a current order not for placing a new order. Everything marked with a * is a required element. If you fail to fill in the required fields, your order may not be processed in a timely manner. On this page please fill out the information as it applies to your current order. On the page that follows you will be prompted to make your desired changes. If you have any questions, please call Media Services at (313)577-1980, Mon-Fri 8am-5pm.

Contact Information
Today's Date: August 29, 2008

Division/Program*:

Contact Person*:

College*:

Office Phone*:

Contact's Email Address*:


Class Information

Instructor's Name*:

Instructor's Email:

Course No*. :

Section No. :

 

Building*:

If Building is Other:

Room #*:

 

Start Time*: am pm

End Time*: am pm

Class meets on*:

Monday Tuesday Wednesday
Thursday Friday Saturday
Sunday    

 


Change Information

Please choose what needs to be added or changed in your order. Mark all that apply.

Change the date of my order

Change the equipment I need

Change the time of my order

Change the room for my order ( see below )

IMPORTANT: If you are changing the room for your order you must select the building that room is in from the following list -- even if it is the same as the previous building.

If Building is Other:

OR

Cancel my entire order