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FACULTY / PTL SUPPORT
Equipment Requests
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
Pick a date
Date Return
Pick a date
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

features:

 

New Wireless Buzzer System (6 player) with Light Tower

 

Clickers (comes with receiver, software on USB)
Quantity:

 

Remote for PowerPoint

 

Portable LCD Projector

 

VCR or DVD player to use with (choose one)
      Projector TV

 

Digital Camera

 

Video Camera

 

Portable Amplifier (for walking tours)

 

Webcam (Logitech 9000 with mic)

 

Other
Describe:

Additional Comments

By submitting this request I hereby agree that I am responsible for the equipment listed above and that if such equipment is not returned in the same state, that I will be held responsible for the replacement, repair, or monetary reimbursement for such equipment.