This form is only to be completed IF you require any AV needs outside of the standard set up of LCD Projector, PC Laptop, microphone, and laser pointer. Please call (215) 955-2490 or email jeffersoncpd@jefferson.edu with questions. Name * Enter first and last name. Email Address * Select Your Event * Please select your scheduled event. If your event is not listed, select 'Other' and enter event name. Annual Diabetes Symposium Annual Renal Symposium Annual Neurocritical Care Symposium Annual Cerebrovascular Update Annual Heart Disease Symposium Spine Fellows Alumni Symposium Other: Select Your Event Other: AV Needs * Please describe any special AV requirements/needs: Leave this field blank
