UK FMD Equipment Check-Out Request Form
Thank you for your interest in UK Faculty Media Depot Resources. Please fill out this form to request an equipment kit check out. A UK FMD representative will contact you shortly to confirm your request.
* Required
Email address
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Employee ID Number (If applicable, do not include the 9 at the beginning)
*
Your answer
Department Name
*
Your answer
Phone Number (without spaces, dashes, etc.)
*
Your answer
Desired Check Out Date
*
MM
/
DD
/
YYYY
Approximately how long will you need the equipment?
Your answer
Desired Equipment Kit
iPad Support Kit
iPad Air Kit
HD Canon Camcorder Kit
4K Sony Camcorder Kit
XC15 Canon Professional Camcorder Kit
Additional Equipment Needs
Wireless Lavalier Microphone
Desktop USB Microphone
Desktop Pen Tablet
Media Laptop
Tripod
Webcam
Ring Light
Light Panel
Other:
Have you checked out equipment with us before?
Yes
No
Clear selection
Additional Notes
Your answer
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