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Video Messaging Request form

Please fill out the form below.

Any pictures you would like added to the message can be sent to

Video Messaging Request form
Office of Campus Life - 251 Gemmell

There is a 4-week limit for your message

Date Message is to Begin:

Date Message is to End:

Information About Your Message

Name of Event:





Time: (example: 10:00 am - 3:00 pm)

Who (if there is a speaker/presenter/performer):

Other Information for the Event/Instructions for the slide:

Sponsored By:

Contact Person:

Phone Number:

Email Address: