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(336) 334-4822 
P.O. Box 309 
Jamestown, NC 27282 
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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:

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.
 
 

Rev. DF: 4/9/05

 
 

 
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