Library Media Services Request for Media For assistance, please contact Media Services at library.media@johnabbott.qc.ca or ex. 5337* REQUIRED FIELDSCONTACT INFORMATION*NAME: First Last DEPARTMENT:*EMAIL:* LOCAL:*FILM INFORMATIONTITLE:*YEAR OF PRODUCTION:DIRECTOR/PRODUCER:*EDITION/VERSION:WEBSITE: FILM APPLICATIONCOURSE NUMBER AND TITLE:DESCRIPTION OF CONTENTS AND APPLICATION TO COURSEDATE REQUIREDDate required*(N.B. Delivery may take up to 8 weeks) PAYMENT OPTIONPAYMENT OPTION*Library Media Services purchase (up to $150 per request, budget permitting)Departmental purchase (TCV required)Cost share a department (TCV required)