Stereo Theater Show Proposal Form

Your Name:___________________________________________________

Address:_____________________________________________________

City/State/Zip Code:____________________________________________

Phone/Fax/E-Mail:_____________________________________________

Program Title:_________________________________________________

Description of Program:_________________________________________

_____________________________________________________________

_____________________________________________________________

Proposed length of your program:________________________________

Check all the equipment you will need:

 € Ektagraphics (2x2) How many?____ 
 € Brackett Dissolve (41x101mm) 
 € View-master (see below) 
 € RBT projectors (41x101 RBT mounts)
 € 2 channel cassette tape 
 € 4 channel cassette tape
 € Microphone for narration
 € Other:______________________________________________________

Note that if you have a View-master show, you need to specify the
following:

 € I wish to show only at the View-master meeting. 
 € I wish to show only in the Stereo Theater.
 € I wish to show both at the View-master meeting and in the Stereo
   Theater.

For the Ektagraphics with Brackett Auto-Synch II dissolve, 1000 Hz pulse
signal will be needed. If you need other dissolve equipment, you may need
to supply it.

For the RBT projectors, the Baessgen Triplex dissolve unit can handle the
following signals: 1000 Hz pulse, Plustrac, Freetrac, Syncode,
Kindermann, Leitz Du 24, Simda F 101, UD-2000, UX-2000, and Kodak
P-Com.

Please check the following:

 € I will be attending the convention. 
 € I will not be attending the convention.
 € I will project my show.
 € I would like for someone to project my show.
 € I would like assistance to project my show.

Comments: ___________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

Please send this completed form to:

John and Dace Roll
5953 Shelford Lane
Rockford, IL 61107-2573

or E-Mail the above information to johnroll@uic.edu

Questions? Call us at (815) 654-8977