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ITS Equipment Check-Out Form
  
 

NOTE: DVD disks are available in ITS for $3 each.

GENERAL INFORMATION
Name:
Department:
Phone Number:
Department Head:
EQUIPMENT NEEDED



Size of Screen (if needed): 

Pickup Date:

Pickup Time:

Return Date:

Return Time:

Other comments:

Purpose for borrowing equipment:

Location where borrowed equipment will be used:
 

Contact E-mail (REQUIRED):   

Remember you must enter a full e-mail address to submit this form.

 


Wartburg College - 100 Wartburg Blvd. - Waverly, IA 50677 - (800) 772-2085