Media Production Services Request Form



Center for Teaching and Learning

P.O. Box 13038, SFA Station Nacogdoches, Texas 75962 (936) 468-2774

Please complete and submit the information requested below:

First Name: Last Name:

Email Address:

Phone Number:

College of:

Please select the desired service(s):
CD Duplication

DVD Duplication
VHS Duplication
CD Label Printing
DVD Label Printing
CD/DVD Cases and Printed Covers
Video Streaming Production Work
*Slide Scanning
*Graphics Scanning
*Text (OCR) Scanning

* Fees are only charged for scanning materials if OIT provides the labor. There is no charge to come by and use the scanners. Prices include the blank media, when applicable.

(IDT) Please Enter Charge Account Information For Your Department:
Fund Number:
Organization Number:
Account Number: 772730 (Does Not Change)
Program Number:

Please list any special instructions that will help us to better serve you.

I have read the fee schedule and understand that my account will be charged accordingly for these services.