Equipment Request Form

Contact Person:   
Phone Number:   
Primary E-Mail:   
Mailing Address:   
Organization:   
Title of Event:   

Date Requested:       
Date to be Returned:   

Location where Equipment will be used:   

Please Note: Items marked with an asterisk (*) will require a refundable $25 deposit for equipment to be used outside of ADUC and a non-refundable $25 rental fee due when equipment is picked up.

Cables/ Connectors   
Carts   
Cassette or CD Player  
Chair(s)   
DVD Player*  
Easel(s)   
Extension Cord(s)   
Flag(s)   
Laptop*   
LED Candles- must provide own batteries   
Long Ranger*   
Microphone(s)   
Monitor(s)   
Multi-Media Projector*   
Overhead Projector   
PA System*   
Pipe and Drape   
Podium   
Portable Radio(s)- must provide own batteries   
Portable Screen   
Table(s)   
Table Skirt(s)   
Table Stanchion(s)  
Television   
Trash Can(s)   
VCR