Equipment Check-In
Please write down the serial number in the space provided for each item. If you were not checked out an item, please write "NA".
* Required
Name:
*
Your answer
Email address:
*
Your answer
Are you keeping your laptop?
*
Yes
No
Laptop: (Please provide Serial Number)
*
Your answer
Are you keeping your iPad?
*
Yes
No
iPad: (Please provide Serial Number)
*
Your answer
Projector: (Please provide Serial Number)
*
Your answer
Document Reader: (Please provide Serial Number)
*
Your answer
Speakers: (Please provide Serial Number)
*
Your answer
Sharpener: (Please provide Serial Number)
*
Your answer
Apple TV: (Please provide Serial Number)
*
Your answer
Chromecast: (Please provide Serial Number)
*
Your answer
Misc.
*
Extension Cord
Power Outlet
Laptop Charger
Required
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