The Help Desk
304 Sanford Hall
706.542.6799
help@terry.uga.edu

CD / DVD / Video Duplication Request Form

* Required fields are asterisked.

User Information

* First Name
* Last Name
* Email address
Phone Number
Department
* Month
* Day
* Year
* Title as it will appear on label

* Source Format:

VHS
CD-R
DVD
mini-DV

* Delivery Format:

CD-R		# of copies
DVD		# of copies
QuickTime
RealMedia
Special Instructions

Before You Submit This Request

Please review all information you have submitted via this form to ensure its accuracy. Completed forms are entered into the system and processed in the order they are received. If you have any questions about completing this form, please call the HelpDesk at 542.6799.




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