LHCC Media Arts Equipment Request
Please fill in the details of your request below. You will receive a response via phone or email.
Requester's Name *
Your answer
Requester's Phone Number
Your answer
Requester's Email *
Your answer
Preferred Mode of Response *
Today's Date *
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Event Equipment Requested For *
Your answer
Event Date *
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YYYY
Requested Pick Up Date *
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DD
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Requested Return Date *
MM
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DD
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YYYY
Equipment Requested *
Required
The borrower assumes liability for lost and/or damaged equipment. *
Required
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