Name:	Email:	Phone #:

Pickup Contact Info:

	Name:	Email:	Phone #:

Additional Info:

	Pickup Date/Time:	Return Date/Time:	Purpose:
			--select-- Conference Meeting Project Other (specify)
	01 02 03 04 05 06 07 08 09 10 11 12 00 15 30 45 AM PM	01 02 03 04 05 06 07 08 09 10 11 12 00 15 30 45 AM PM

Equipment:

Cameras			Projection Equipment	Quantity	Item
	0 1	Digital Still Camera
	0 1	Digital Audio Recorder		0 1 2 3	Digital Projector
	0 1	Flip Camera		0 1 2	Projection Screen (50'' Diagonal)
	0 1 2 3	Panasonic Full HD Camera		0 1 2 3 4	Wireless Presenter
	0 1 2	Tripod (Adjustable, 20'' - 56'')
Accessories			Sound Equipment
	0 1 2 3	USB Cable		0 1 2	CD/DVD Player
	0 1 2 3 4	iPod Cable		0 1 2	Portable Sound System (Includes microphone, amp, speakers)
	0 1 2 3 4 5 6 7 8 9 10 11 12 13	Ethernet Cable		0 1	Telecommunication System (Conference Phone)
	0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24	Mice
	0 1 2 3	Power Strip
	0 1 2 3	Extension Cord
Laptops	Quantity	Item
	0 1 2 3 4 5 6	PC
	0 1 2	Mac
	0 1 2 3 4 5 6	Either PC or Mac - No Preference
	0 Macbook Mini DVI Macbook Full DVI Mini Display Port Macbook Micro DVI Mini VGA	Mac Adaptor

Comments/Other Questions

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