Equipment Use Request Form

 

What equipment are you interested in using?

Powerpoint Projector Laptop Screen
Slide Projector Speaker Phone Overhead Projector
Video Camera Digital Camera Tripod
Air Compressor Other, please explain

Enter additional comments in the space provided below and include as much detail as possible:

Pickup Date:     

Return Date:     

Tell us how to get in touch with you:

Name:
Person picking up equipment, if different than above:
Person returning equipment, if different than above:
Department/Location:
E-mail:
Tel:
FAX:
Please contact me as soon as possible regarding this matter.

*Please note that equipment reservations are on a first come, first served basis.  Once your form has been processed, you will receive an email describing the status of your request.  Mahalo!

Richard Mendoza, Technology Coordinator
Copyright © 2005  Ho`ola Lahui Hawai`i. All rights reserved.
Revised: 03/13/08.