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 Indicates Required Field
 

Please complete the form below to reserve a digital camcorder.

All requests are subject to availability and approval. You must be an authorized student enrolled in a Faculty of Education course that has been designated by the instructor to sign-out camera equipment.

Video cameras are for academic use only.

 

1. What date and what time would you like to pick up the equipment?
(You must submit your reservation a MINIMUM OF 2 BUSINESS DAYS IN ADVANCE.)
 

mm/dd/yyyy
 Calendar  
 
2. Name:
 
3. UM Student Number:
 
4. Phone Number:
 
5. Email Address:
Note: A copy of this form will be emailed to this address upon completion.
Send me this email as HTML instead of plain text.
 
6. Course Number:
Eg. EDUA 1234 (4-character course letters, space, 4-digit course number)
 
7. Professor/Instructor's Name:
 
 
8. Additional Equipment (optional):

The camcorder bag includes: camcorder, battery pack and cover, power adapter, wireless controller, and the user manual.

Please check off additional cables/equipment that you require:

 

 
9. Do you require a hands-on demonstration in the use of the camcorder?
 

 
 
10. Additional information: