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Cable TV Outlet Request

Please fill out the form below to request a Cable TV outlet. Installation will be charged at a rate of $50 per hour, plus the cost of materials (cable connectors, etc.). Each outlet will also carry a $2 per month fee.

Please be sure to fill in all of the information requested because insufficient information can delay the process.

All fields are required.


Your Full Name:
Your Phone / Extension:
Your Mail Drop:
Your Email Address:
Your School/Department:
Department Cost Center:
Number of Outlets Needed:
Please describe where the outlet(s) should be installed. Include building, room numbers, which wall in the room, and any helpful landmarks: