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Off-Satellite Taping and Viewing Request Form

The Media Center must receive this form (electronic or print) 5 days prior to the program date to insure scheduling. The requestor is responsible for providing a blank tape for copies to be kept in the department, as well as for picking up the tape after the program has aired.
(Telecommunications Phone: 372- 3800  -  Media Center Phone: 372-3544  -   E-Mail: Media Center)

Requestor
Department
Phone#
E-mail

Program Payment Source
If not free, the program payment source is who paid for or is paying for the satellite program.
Title of Program
Date of Program
Test Pattern (a.m. or p.m.) until (a.m. or p.m.) (Central Time)
 Program (a.m. or p.m.) until (a.m. or p.m.) (Central Time)
Technical Assistance Number


Satellite Information
(Please include both sets of coordinates if given)

C-Band Coordinates  Ku-Band Coordinates
Satellite Satellite
Location Location
Transponder # Transponder #
Channel Channel
Polarity (vertical) Polarity (vertical)
Polarity (horizontal) (horizontal)
Downlink Frequency (Mhz) Downlink Frequency (Mhz)
Audio Frequency (Mhz) Audio Frequency (Mhz)
Direct Viewing (Yes or No) 
Tape for later viewing (Yes or No)
Building/Rm.
Own Tape Media Center Tape

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