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Equipment Sign Out Form
Please use the form below to request the equipment available for sign out.
Equipment Sign Out Form
Agency Name
*
Contact Person Name
*
Email
*
Phone
*
I would like to sign out the equipment noted below for the following date and times:
Start Date
*
End Date
*
Start Time
12:00 AM
12:15 AM
12:30 AM
12:45 AM
1:00 AM
1:15 AM
1:30 AM
1:45 AM
2:00 AM
2:15 AM
2:30 AM
2:45 AM
3:00 AM
3:15 AM
3:30 AM
3:45 AM
4:00 AM
4:15 AM
4:30 AM
4:45 AM
5:00 AM
5:15 AM
5:30 AM
5:45 AM
6:00 AM
6:15 AM
6:30 AM
6:45 AM
7:00 AM
7:15 AM
7:30 AM
7:45 AM
8:00 AM
8:15 AM
8:30 AM
8:45 AM
9:00 AM
9:15 AM
9:30 AM
9:45 AM
10:00 AM
10:15 AM
10:30 AM
10:45 AM
11:00 AM
11:15 AM
11:30 AM
11:45 AM
12:00 PM
12:15 PM
12:30 PM
12:45 PM
1:00 PM
1:15 PM
1:30 PM
1:45 PM
2:00 PM
2:15 PM
2:30 PM
2:45 PM
3:00 PM
3:15 PM
3:30 PM
3:45 PM
4:00 PM
4:15 PM
4:30 PM
4:45 PM
5:00 PM
5:15 PM
5:30 PM
5:45 PM
6:00 PM
6:15 PM
6:30 PM
6:45 PM
7:00 PM
7:15 PM
7:30 PM
7:45 PM
8:00 PM
8:15 PM
8:30 PM
8:45 PM
9:00 PM
9:15 PM
9:30 PM
9:45 PM
10:00 PM
10:15 PM
10:30 PM
10:45 PM
11:00 PM
11:15 PM
11:30 PM
End Time
12:00 AM
12:15 AM
12:30 AM
12:45 AM
1:00 AM
1:15 AM
1:30 AM
1:45 AM
2:00 AM
2:15 AM
2:30 AM
2:45 AM
3:00 AM
3:15 AM
3:30 AM
3:45 AM
4:00 AM
4:15 AM
4:30 AM
4:45 AM
5:00 AM
5:15 AM
5:30 AM
5:45 AM
6:00 AM
6:15 AM
6:30 AM
6:45 AM
7:00 AM
7:15 AM
7:30 AM
7:45 AM
8:00 AM
8:15 AM
8:30 AM
8:45 AM
9:00 AM
9:15 AM
9:30 AM
9:45 AM
10:00 AM
10:15 AM
10:30 AM
10:45 AM
11:00 AM
11:15 AM
11:30 AM
11:45 AM
12:00 PM
12:15 PM
12:30 PM
12:45 PM
1:00 PM
1:15 PM
1:30 PM
1:45 PM
2:00 PM
2:15 PM
2:30 PM
2:45 PM
3:00 PM
3:15 PM
3:30 PM
3:45 PM
4:00 PM
4:15 PM
4:30 PM
4:45 PM
5:00 PM
5:15 PM
5:30 PM
5:45 PM
6:00 PM
6:15 PM
6:30 PM
6:45 PM
7:00 PM
7:15 PM
7:30 PM
7:45 PM
8:00 PM
8:15 PM
8:30 PM
8:45 PM
9:00 PM
9:15 PM
9:30 PM
9:45 PM
10:00 PM
10:15 PM
10:30 PM
10:45 PM
11:00 PM
11:15 PM
11:30 PM
Select which equipment you would like:
Cart - rolling with 3 shelves
Clear Board - 4' x 6' mobile
Dongle Connector/Adapter - For most MacBook’s/Chromebooks/Tablets
Hot Water Canisters - Portable (water only - 2 available)
Coffee Canisters - Portable (2 available)
Conference Telephone - For use in room 294 and 320
Dolly - Light duty (low, flat)
Dolly - Heavy duty (2 or 4 wheels - 2 available)
Flipchart Easel - 2’ x 3’ (for flipchart paper only)
Flipchart / Whiteboard - 3’ x 4’ mobile (in each meeting room - 4 available)
LCD Projector & Cables ( LCD in each meeting room) - Compatible with most notebooks
LCD Projector NEC PA 550 W - Larger 3D picture - connects to P/A speakers (boosted sound)
Lectern - Portable – in room 340
Megaphone - Suitable for outdoor events
Overhead Projector - For transparencies
P/A System - Microphone and speakers
Projection Screen - Portable – 4 x 4
TV/DVD - 30 inch
Extension Cords - 8’, 15’, 50’ (Please specify length in notes below)
Additional Information/Notes:
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