Equipment Reservation Request

Please submit this form at least one week before your event. Note that submitting this form does not guarantee that the requested equipment will be available for your event.

Name of club/cohort requesting equipment*

Assigned staff person*

Event name*

Event date*

Name of student picking up and responsible for the equipment*

First Last

Student's Penn ID #*

Student's email*

Student's cell phone number*

Please indicate the date and time when you would like to pick up the equipment. Note that items may only be picked up 9:30am-4:30pm, Monday-Friday and should be returned by no later than 4:30pm the following day.

Pick-up date*

Pick-up time*

Must be between 9:30am and 4:30pm, Monday-Friday

: HH

MM

Will you need to return items outside of regular office hours (e.g., after 5pm or on a weekend)?*

Yes
No

Return date*

Return time

: HH

MM

Please select the equipment you would like to reserve below.

Note: A maximum of three tables may be reserved per event.

Table - 72" x 30"

1
2
3

Table - 58" x 30"

1

Card table - 37" x 37"

1
2

USB card readers

If a USB reader is damaged or lost, the borrowing student organization will be responsible for paying a fine of $25 to replace it.

1
2
3
4

Note: A maximum of six sign stands may be reserved per event.

Sign stands - 8.5" x 11"

Sign stands - 11" x 17"

Three-shelf rolling carts

1
2

Hand truck

1

Flatbed dolly

1

Paper Cutter

1

Agreements*

I understand that if equipment is lost or brought back damaged charges may apply.
I understand that it is the responsibility of the club to supply its own office supplies (e.g., scissors, tape, markers, paper).

In order to submit your request, please check the boxes to indicate your acknowledgment of the statements above.

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