Dental Informatics Digital Signage Request Form

Digital signage request form

Your name *

Your email *

Your phone number

Display content on

Patient side

Student/employee side

Date to BEGIN displaying content *

Date to BEGIN displaying content: Year *

Date to BEGIN displaying content: Month *

Date to BEGIN displaying content: Day *

Content display ENDING date *

Content display ENDING date: Year *

Content display ENDING date: Month *

Content display ENDING date: Day *

Event title (15 character limit) *

Event date *

Event date : Year *

Event date : Month *

Event date : Day *

Event BEGIN time *

Event END time

Event location *

Event description (60 character limit) *

Contact name, email address, and/or telephone number to display

To submit your own image, reply to the confirmation email you will receive after you submit this form; attach the image to your reply.

If submitting your own image, please ensure each picture/file size is between 1-5 MB. If submitting UofL logos or UofL colors, please be sure the graphics/content adhere to the brand graphics policy, which can be found at http://louisville.edu/brand.

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This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

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Digital signage request form

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