Audiovisual Equipment Pick-up: LRC


E-mail
Contact Person
Department
Campus Address
Campus Zip
Phone
FAX

Instructor/person in charge
For use in room
Pick-up Date   Time
Return Date   Time

Fund
Organization
Program
SubClass
Budget Yr.
Project/Grant
Shortcode

Building
If other, describe:
Audience
If other, describe:

Audiovisual Equpment Requested
Video Units 1/2 VHS playback
1/2" VHS recording unit/camera
3/4" cassette playback
Slide Projection (35mm /2"x2") Carousel projector with carousel
Ringmaster (self contained slide/tape unit with screen)
Other Projectors Overhead (transparency)
Audiocassette Units Playback
Recorder/Playback
Computer Projection Devices
LCD Projector
    Mac or PC


Other Portable cart
Portable sound lectern
Portable projection screen
Projection pointer
Other, please specify

Borrower must accept full responsibility for equipment until it is returned to Classroom Services. An overdue fee of $20.00 per day will be charged for late return of equipment. Repair or replacement charges will be assessed for damage, loss, or theft of equipment occurring while on loan. The borrower agrees that equipment will not be removed from the premises of the University of Michigan Medical Center without prior consent of the LRC.

Send me a copy of this message