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Media Services Request Form

Your Name (required):

Your Email (required):

Department (required):

Phone Number (required):

Location (required):

 This problem interferes with instruction.

Type of Problem (required):

Equipment Item (required):

Make/Model/Serial #:

Inventory Number (810-) (required):

Pick up / Drop Off? (required)
 Please Pick Up I will bring equipment to the LRC

Please describe the problem (required):

Wilmington Campus
411 North Front Street
Wilmington, NC 28401

North Campus
4500 Blue Clay Road
Castle Hayne, NC 28429

Burgaw Center
100 East Industrial Drive
Burgaw, NC 28425

Hours of Operation
Monday-Friday: 8:00am to 5:00pm

Accessibility Services

Cape Fear Community College does not discriminate on the basis of race, color, national origin, sex, disability, religion, political affiliation or age.