Radio Rental

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Radio Rental

Please complete this form entirely. The maximum number of radios available for rent is 25. The cost of radios are $10/day per radio.

Organization *

Rental Party *

Contact Phone Number *

Contact Email *

Address *

Number of radios *

Rental days *

GMS Cost Code *

Please enter the GMS Cost Center for billing (REQUIRED) (eg: CCxxxx)

GMS Fund Number *

Please enter the GMS Fund for billing (REQUIRED) (eg: xxxx)

GMS Purpose Number *

Please enter the GMS Purpose for billing (REQUIRED) (eg: PPxxxx)

GMS Program Number *

Please enter the GMS Program for billing (REQUIRED) (eg: PGxxxxxx)

GMS Grant *

Please enter the GMS Grant for billing

GMS Gift *

Please enter the GMS Gift for billing

GMS Project *

Please enter the GMS Project for billing

GMS Assignee *

Please enter the GMS Assignee for billing

Pick-up or delivery *

Please specify if you would like to schedule a pick-up or have the radios delivered. Delivery and Pickup hours are between 9am - 3pm Monday - Friday.

Month, Day, Year Pick-Up *

YYYY

Month, Day, Year Return *

YYYY

Time Of Pick-Up *

Delivery is between 9 and 3pm, Main Campus only

Time

Reason for rental *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Georgetown University.

Does this form look suspicious? Report