VCS Satellite Broadcast Request Form

Fill out all of the fields below. We will call you to schedule a needs assessment meeting. Note that the initial consultation is free, but subsequent services are on a fee-for-service basis. For fees, please consult our rates.

Please refer questions to Bob Klein
at (919) 515-3683, bob_klein@ncsu.edu

Back to the VCS Homepage

* Indicates required field.

Satellite Broadcast Title *

Title

Date and Time of Broadcast *

Date (dd/mm/yyyy)
Time (hh:mm pm)

Satellite *

Please select the satellite for broadcast from the list below.

Primary Contact at NC State *

Name
Department
Email
Phone

Submitted By

(If different from above)

Name
Department
Email
Phone

Billing Information *

A pre-billing authorization stating estimated charges will be sent to the department head or financial officer for signature and Project ID Number. The signed billing authorization MUST be returned to VCS prior to scheduling. (See VCS Rates)

Dept. Head/Financial Officer
Email
Phone
Fax
Department

Note: A billing authorization listing anticipated services and charges will be sent to you before video production begins. An authorized signature and Project ID Number is required. You must send the billing authorization back to VCS at Campus Box 7502 or fax to Bob Klein at 919-515-6107 to confirm your acceptance of the charges. A University IDT will be processed immediately following the event.

Back to the VCS Homepage