ETC-Equipment Request Form

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Please note that submission of this form does not guarantee the equipment availability.

ETC needs prior notice of 3 business days on all deliveries.

NOTE: Please Review the Late Fee Policy before making your request.

Faculty/Staff Equipment Request Form

Please review the policies and procedures before making a request.
Name		Department
Course		Phone
Email
Equipment
Software

	Delivery Date		Will Be Used		Return Date
Date		Date		Date
Time		Time		Time
Bldg/Rm		Bldg/Rm		Bldg/Rm
	Please Choose One: I would like to pick up equipment. I would like to have equipment delivered.
	Does your event require a technician? No Yes *
	* If yes, technicians are only scheduled on an as available basis. Please note there are usually fees associated with technician services. As with all electronic requests to ETC, no request is finalized until you have received a confirmation e-mail from the ETC office. If you have questions please contact the ETC office at 836-5778.

	If you return the equipment in person, have your yellow copy signed by an ETC staff member as your receipt for returned equipment.