UAB Health System Digital Signage Request

Please complete the form below and someone will be in touch shortly regarding your request. Thank you!
Contact Name *

First Name Last Name
Email *
example@example.com
Requesting Department/Division *
What is your digital signage goal? *
What do you want to display on your digital signage? *
Project Champion* *
*Who within your department is responsible for identifying strategic objectives and ensuring success?
Where do you want the TVs located? *
Is the location in a patient-facing area? *

Yes No
Do you have TV(s) installed already? *

Yes No
What is your budget?
Are you on the Hospital or University Network? *
Should be Empty: