EQUIPMENT RENTAL FORM Contact Information Name * First Name Last Name UWO Email * Student Number * Phone Number * Event Information Please provide information on the event you wish to use the equipment for. Event Name * Event Date * MM DD YYYY Event Location * Equipment Details Equipment Rented * Please select the equipment you wish to rent for your event. Camera Tripod Handheld Microphone Speakers Power Cord for Charging B-Dot Mascot Whiteboard and Markers Reason for Renting * Please describe your intended use for the equipment selected above. Return Policy Sign Name in Text * The BUCSC requests that the portable speaker(s), any accessories (power cord, microphone, and audio input cables) and Camera be returned in the state that it was in when taken. If damage to the portable speaker(s), any accessories (including memory chips) and Camera is to occur then it is the responsibility of the renter to replace the damaged items. By signing this document you are agreeing to the above return policy. Date Signed * MM DD YYYY Thank you!
