Specialty Equipment Request

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Please make your request at least 24 hours in advance of your desired pickup time. You may be required to attend a training session.

Lighting Gear Requested*
Name*
E-mail*
Camera Requested*	Panasonic DV Camcorder Sony HDV Camcorder Panasonic HD Camcorder Canon EOS HD DSLR (for video) Nikon D3100 DSLR (for stills) None of the Above Needed
Audio Gear Requested*	Shotgun Microphone Boom Pole Zoom H4 Audio Recorder None of the Above Needed
	1000W Tungsten Halogen Light 650W Tungsten Halogen Light 300W Tungsten Halogen Light 150W Tungsten Halogen Light Softbox Light Battery-Powered LED Lights None of the Above Needed
Specialty Gear Requested

Description of shooting plans*

Instructor, Advisor, or Project Coordinator*

By checking this box I agree to take responsibility for the equipment and pay for any repairs or replacements should anything become damaged or lost while it is checked out to me.*
	I agree
Pickup Day and Time*
Date of Pickup*
Return Day and Time*
Date of Return*
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