Equipment Reservation Form

Program

 

 
Contact & Meeting Information

Person Making Request 

Person Responsible for Equipment 

Number of Participants: Location:
Date Information

Date of Request(M/D/YYYY)
 / /

Pick Up Date(M/D/YYYY)
 / /

Return Date(M/D/YYYY)
/ /

Equipment Requested
Type
Description

CSLD Equipment
(CLSD programs only)

 Includes: Projector, VCR, & Podium
(recommended for all CLSD programs)
Projector Projector from PEP
(out of town programs get top priority)
VCR VCR from PEP
(out of town programs get top priority)
DVD DVD player from PEP
Presentation Computer Laptop computer from PEP.
Wireless Access Provides internet connectivity for computers.
Digital Camera  
Computer Cart Includes: 30+ laptops and wireless internet
Speakers Can be used with a computer, vcr, or dvd player
Other needs

Do you require more than one of any of the above items? If so, which item(s)?
Do you require training or assistance for any of the above?
Is there anything else we need to know?

Carefully check your information before submitting.
Please do not submit more than once.




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