Duplication Request

Please use this Media Duplication Request form for ordering events recorded by Concordia Media Productions for participants of the respective Concordia University Chicago event. * All fields are required.

Program Information

Program/Concert/Event TitleEvent DateFormatQuantitySelf-Provided Media

Customer/Delivery/Payment Information

Delivery: I will pick this up
Deliver to on campus box
Deliver to my home (free shipping)
Campus Box#:
Payment Method: Cash
CUC Account
Dept. Account #:
This order is a CUC Departmental Academic Requirement
Please make check payable to
'Concordia University' for .

All requests are subject to review and pre-approval. Concordia Media Productions reserves
the right to revise or cancel any submitted requests without notice.

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