Equipment Request
 

Information About You:       *Name: *E-mail address: *Phone: *Department:       Information About the Requested Equipment:       - 1 2 3 4 5 6 7 8 9 Audio Cassette Recorder - 1 2 3 4 5 6 7 8 9 Laptop - 1 2 3 4 5 6 7 8 9 CD Player - 1 2 3 4 5 6 7 8 9 Overhead Projector - 1 2 3 4 5 6 7 8 9 Extension Cord - 1 2 3 4 5 6 7 8 9 Projection Stand - 1 2 3 4 5 6 7 8 9 Video Projector - 1 2 3 4 5 6 7 8 9 Document Camera - 1 2 3 4 5 6 7 8 9 Data Projector - 1 2 3 4 5 6 7 8 9 Screen - 1 2 3 4 5 6 7 8 9 Flipchart - 1 2 3 4 5 6 7 8 9 Slide Projector - 1 2 3 4 5 6 7 8 9 Monitor (13 inch) - 1 2 3 4 5 6 7 8 9 Video Cassette Recorder       Repair > Describe problems :           Obtaining the Equipment       Equipment can either be picked up at the AV Center, or delivered to an on-Campus address. Pick up   Deliver     *To what address?   (please include the Building Number, as well as the Room Number to be delivered to.)       Date Equipment is Needed       The standard circulation period for equipment is one day. Exceptions should be cleared with the Audiovisual Center prior to submitting this form. Please enter the date that you need the equipment below. NOTICE, equipment is delivered the day prior to use and picked up the day following use. Please skip weekends. Date Equipment is needed: mm 1 2 3 4 5 6 7 8 9 10 11 12 / dd 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020       Security of the Equipment       Security of equipment is the responsibility of the person signing this request. Data projectors, laptops, and other "popular" equipment should be delivered to and stored in an office rather than a classroom or large meeting space.