Add New Equipment Request
Before filling out the rest of this form, please double-check the Check-Out calendar for availability

Before You Start--Please type "OTEN" (all caps, no quotes) in this box:

Use these boxes to request equipment for a single date or continuous series of dates

Date/time equipment will be picked up:
Month: Date: Year: Pickup Time:

Date and time equipment to be returned:
Month: Date: Year: Return Time:

Note: Do not fill out both sets of boxes. Fill out the boxes above if you are requesting for a single date or continuous series of dates. Fill out the boxes below if you want to sign up for recurring dates.
Use these boxes to request equipment for a certain day of the week (e.g., "every Tuesday") during a series of months
Day:
Starting in:Year:
Ending in:Year:
Pickup Time: Return Time:


Name of Requestor
Last Name: First Name:
email (a reminder will be sent to this address):


Equipment Requested

iBooks
iBook G4 #1
iBook G4 #2
iBook G4 #3
iBook G4 #4
iBook G4 #5
Projector Adapter
Digital Cameras
Digital Still Camera #1
Digital Still Camera #2
Digital Still Camera #3
Digital Still Camera #4
Digital Still Camera #5
Building Use Only
InFocus Projector #1
InFocus Projector #2
Mitsubishi Projector
Magnovox VCR TV Cart
Sharp DVD/VCR TV Cart 		Digital Video Cameras
Canon Video Camera #1
Canon Video Camera #2
Canon Video Camera #3
Canon Video Camera #4
JVC Video Camera #5 (Super VHS)
Canon Video Camera #6
Tripod
Firewire Cable
Scopes
Biology Proscope Kit 1
Biology Proscope Kit 2
Proscope Only 		Projectors
Dell Projector (Faculty Checkout Only)
Mitsubishi Projector (Student or Faculty Checkout Allowed)

* I agree to return all the equipment in good working condition.

 

 

Month: Year: Type:

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