LHCC Media Arts Equipment Request
Please fill in the details of your request below. You will receive a response via phone or email.
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Requester's Name
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Requester's Phone Number
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Requester's Email
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Preferred Mode of Response
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Phone (text message)
Email
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Today's Date
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Event Equipment Requested For
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Event Date
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Requested Pick Up Date
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Requested Return Date
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Equipment Requested
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Sony Alpha 57 Camera Body, Battery, Charger & SD Memory Card
Sony 18-55mm zoom lens
Minolta 35-70mm f/4 zoom lens
Minolta 50mm f/1.7 prime lens
Quantaray 70-210 f/4-5.6 zoom lens
Other:
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The borrower assumes liability for lost and/or damaged equipment.
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I understand and agree.
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