Equipment Loan Agreement

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EQUIPMENT LOAN AGREEMENT: Comprehensive form for the loan of Television
Production/Broadcast equipment for the purpose of producing a Public Access Program to air
on Fairport Area Community Television Channel 15.
BORROWER
FULL LEGAL NAME OF BORROWER __________________
DBA NAME (IF ANY) ________________
HOME ADDRESS ________________
CITY _________ COUNTY _________ STATE _________ ZIP _________
PHONE (
)_________
EQUIPMENT LOCATION IF DIFFERENT THAN ABOVE _________________
CITY _________ COUNTY _________ STATE _________ ZIP _________
TELEPHONE (
)_________
AUTHORIZED REPRESENTATIVE ________________ TELEPHONE (
)_________
FAIRPORT AREA COMMUNITY TELEVISION
NAME: Paul J. Kolacki- Station Manager
ADDRESS: 31 S. Main Street
CITY: Fairport STATE: New York ZIP: 14450
TELEPHONE: (585) 421-3214
QUANTITY MODEL NUMBER EQUIPMENT
DESCRIPTION/
SERIAL NUMBER
TERMS AND CONDITIONS
SECTION ONE.
TERM
The term of this Equipment Loan is for ______________, and commences on the date an
authorized employee of FACT executes and signs this Equipment Loan. The equipment shall
be returned to the FACT studios no later than________________________, 20__

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