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        Request
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Equipment Reservation Form

Fields marked with an * are required

*First Name:

*Last Name:

*Phone:
*Email:

Faculty and Staff Only

Student Number (if applicable):
 If you are a student and requesting a Projector, you must get permission from your faculty instructor.

*Equipment to reserve:

Projector
DV Video Camera
Tripod
DVD Player
Digital Still Camera
Laptop
Easel
Ethernet Cable

Mac Adaptors
Mini DVI
DVI to VGA
Standard DVI to VGA

Other, please list:

*Location of event:

Other information you would like the staff to know:

*Pick-up date:

enter like this: 01/15/2002

*Pick-up time:

(ex: 9) a.m. p.m.

*Return date:

enter like this: 01/15/2002

*Return time:

(ex: 10) a.m. p.m.

*Do you need training on the equipment you are reserving?

Yes No

What type of training do you need?

 

 
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