Audiovisual Equipment Request Form

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Audiovisual Equipment Request Form

Use this form if you are submitting a request a day or more in advance of required date. For more immediate loans, please phone 845-9220 or 845-9221.

Name:

E-mail:

Department:

Phone:

Where will equipment be used? Bldg/Room:

Date needed:

Return date:

am pm

Equipment needed:

Cart Cassette Recorder AM/FM CD Cassette Recorder DVD Unit VCR Unit	Screen Slide Projector w/remote Carousel Tray Overhead Projector Extension Cord
Other:

The circulation staff will confirm your request by e-mail. When you pick up the equipment at the Circulation Counter you will be asked to sign the request form. Please phone 845-9220 or 845-9221 if you have any questions. Mahalo.