CONTACT INFO


PROFESSOR


IF OTHER, ENTER PROFESSOR NAME


NAME
A value is required.

BANNER NUMBER
A value is required.Invalid format.

EMAIL ADDRESS
A value is required.Invalid format.

PHONE NUMBER
A value is required.

DATES & TIMES


PLEASE NOTE THAT DTC STAFF IS ONLY AVAILABLE DURING THESE TIMES FOR EQUIPMENT CHECKOUT AND RETURN. IF YOU NEED SPECIAL ARRANGEMENTS, PLEASE CONTACT x2432 AT LEAST 48 HOURS IN ADVANCE.

PICKUP DATE


PICKUP TIME
8:00A - 9:00A

1:00P - 2:00P

PICKUP PERSON


RETURN DATE


RETURN TIME
8:00A - 9:00A

1:00P - 2:00P

FAILURE TO PICK UP OR RETURN EQUIPMENT DURING THESE SCHEDULED TIMES WILL RESULT IN ADDITIONAL FINES OR PENALTIES.

EQUIPMENT


DIGITAL8 VIDEO CAMERA

VIDEO TRIPOD

USER AGREEMENT


REQUESTS MUST BE MADE 48 HOURS (MON-FRI, NO HOLIDAYS) IN ADVANCE. THE RESERVING DEPARTMENT/COLLEGE/SCHOOL IS FINANCIALLY RESPONSIBLE FOR ALL EQUIPMENT OR MATERIALS. REQUESTS MUST BE APPROVED BY THE A/V COORDINATOR IF USED FOR NON-CLASSROOM PURPOSES. THE DRAKE TELEMEDIA CENTER RESERVES THE RIGHT TO REFUSE EQUIPMENT TO ANY PERSON/CLASS/DEPARTMENT/SCHOOL FOR ANY REASON.

Please make a selection. I HAVE READ AND AGREE TO THE ABOVE STATEMENT

COMMENTS