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 student organization 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 from 1400 SHDH. 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.

Tables
Please note that 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

Tap Card Readers
Please note the following:

A cash deposit of $25 is required upon pick-up. This deposit will be refunded when the tap reader is returned.
If the tap reader is returned late, $25 will be deducted from your organization's budget as a first warning. If your group returns a reader late again, they will no longer be permitted to rent card readers.
If a tap reader is damaged or lost, the borrowing student organization will be responsible for paying to replace it.

Tap card readers

1
2

Sign Stands
Note: A maximum of six sign stands may be reserved per event, and you are expected to assemble the stands when you pick them up and disassemble them upon return.

Sign stands - 8.5" x 11"

Sign stands - 11" x 17"

Other

Three-shelf rolling carts

1
2

Hand truck

1

Flatbed dolly

1

Paper Cutter

1

Agreements

Agreements*

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

I understand that if equipment is lost or brought back damaged charges may apply.
I understand that it is the responsibility of the borrowing organization to supply its own office supplies (e.g., scissors, tape, markers, paper).
I understand that sign stands must be assembled and disassembled by the borrowing organization.

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