Digital Signage Request

Contact Name(Required)

First Last

Email(Required)

Requesting Department/Division(Required)

What is your digital signage goal?(Required)

What do you want to display on your digital signage? Please including the building name and floor if applicable.(Required)

Project Champion(Required)

Who within your department is responsible for identifying strategic objectives and ensuring success?

Where do you want the TVs located?(Required)

Is the location in a patient-facing area?(Required)

Yes

Do you have TV(s) installed already?(Required)

Yes

What is your budget?

Are you on the Hospital or University Network?(Required)

Department Signing Authority (for MOU)(Required)

All UAB Medicine digital signage clients are required to sign an MOU for reimbursement of custom content. An MOU is a Memorandum of Understanding that we, UAB Medicine Enterprise Marketing, will be reimbursed the cost of the digital signage platform expense. Please make sure your department signing authority is aware of this request prior to submitting this form.