Edward J. Bloustein School of Planning and Public Policy - Equipment Request Form

Edward J. Bloustein School of Planning and Public Policy

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Equipment Request Form

The responsible party for all equipment must be a faculty or staff member.
Faculty/Staff Name
Email address	extension:
Name of person picking up (if different)
Equipment may be picked up in and returned to Room 539 unless otherwise noted
For Use in Room #	OR	Offsite Building
Date Pickup		Date Return
Time Pickup	8:30-9:30 am 12:00-12:30 pm 4:00-4:30 pm	Time Return	8:30-9:30 am 12:00-12:30 pm 4:00-4:30 pm
Equipment needed	In Building Laptop: comes on a cart. All classrooms and conference rooms have built-in projectors with wall remotes. features: CD DVD Wireless Other Out of Building Laptop: comes in a bag features: CD DVD Wireless Other Remote for PowerPoint Portable LCD Projector VCR or DVD player to use with (choose one) Projector TV Digital Camera Video Camera iPod - Video 80GB Other Describe:
Additional Comments