Digital Camera Request (you may borrow for three days) Be sure to check above to verify your request dates do not conflict with current requests* Camera number: 1 2 Your: first name: last name: Today's date: Your telephone: I would like to pick up the camera on (mm/dd/yy): at (time optional): , , and I would like to return the camera on: (mm/dd/yy): at (time optional): , Comments (optional): *If there is a conflict, the first requestor gets the camera.
Be sure to check above to verify your request dates do not conflict with current requests*
Camera number: 1 2
Your: first name: last name:
I would like to return the camera on: (mm/dd/yy): at (time optional):
Rev. DF: 4/9/05