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Film Request Form

Media Technology Services

Use this form to request that Media Technology Services procure public performance rights for a film to be shown on the Boston College campus.

All charges will be made to your purchasing card and be billed directly to the card. Please ensure all funding is available prior to submitting this form. After completing this form, click "Send Info" at the bottom of your screen to submit your request. You will be notified via email when your request has been processed.

Please note: Film Rental/Public Performace Rights require a minimum of three weeks advance notice.

Today's Date:
Requester First Name:
Requester Last Name:
Email Address:
Telephone Number:
FAX Number:

Advisor or UGBC Dean:
(students only)
Student Address:
Student Phone:

Tell us about the film you are requesting:
Film Title
Date of Showing:
Event Starting Time:
Vendor Name:


Receipts/Packing Slips will be sent to the Requester as back up for the P-Card transaction.

Campion Hall Rm G36, 140 Commonwealth Ave., Chestnut Hill, MA 02467
main tel 617.552.4500      main fax 617.552.2174