Equipment Rental Request Form

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Equipment Rental Request Form
TO BE COMPLETED BY REQUESTOR
NAME: _____________________________
GROUP/CLUB:___________________________
PHONE: _____________________________
EMAIL:_________________________________
CAMPUS ADVISOR NAME AND PHONE:_____________________________________________________
ADVISOR SIGNATURE: _________________________
DATE: __________________________________
EQUIPMENT BEING REQUESTED:
EQUIPMENT TYPE
# OF ITEMS
PRICE PER UNIT
TOTAL ITEM COST
RUNNING TOTAL
QUOTE ACKNOWLEDGEMENT: ________________________
TOTAL: $___________________
*ALL EQUIPMENT MUST BE CHECK OUT AND RETURNED AT MEMBER SERVICES DURING NORMAL BUSINESS HOURS. NOTE: MEMBER SERVICES
IS NOT OPEN ALL FACILITY BUSINESS HOURS. CHECK HOURS WITH STAFF AT CHECKOUT OR AT
TO BE COMPLETED BY RS&F STAFF
CONDITION OF ITEMS:
ITEM OUT
CONDITION
DUE DATE
ITEM IN
CONDITION
ON TIME?
CHECKOUT DATE: _______________
CHECKED OUT BY: ___________________ (STAFF INITIALS)
RETURN DATE: __________________
CHECKED IN BY: _____________________ (STAFF INITIALS)
LATE / DAMAGE FEES APPLY?
YES
NO
IF YES, ADD COSTS HERE $ _________________
NEW TOTAL: $___________________________
PAID?
YES
NO
RENTAL CLOSE OUT:
RENTER SIGNATURE________________________________________________
STAFF SIGNATURE
_________________________________________________________________

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