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Hardware & Software
> Technology Checkout Form
Technology Checkout Form
Contact Information
Name:
Email:
Campus Phone:
Department:
Office of Delivery:
Classroom to be used in:
Date of Class/Event:
Time of Class/Event:
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To:
Projectors
Quantity
35mm Slide:
LCD Video/Computer
Overhead Transparency
Document Camera
Audio
Quantity
Standard Microphone
Wireless Handheld Mic
Wireless Lapel Mic
Wired Lapel Mic
PZM Omnidirectional Mic
PZM Super Cardioid Mic
Anchor Amp/Speaker (Sound System)
Mixer
Cassette Player/Recorder
CD/Tape Player
Floor Mic Stand
Desktop Mic Stand
Boom Mic Stand
Polycom Conferencing System
Video Recording Camcorders
Quantity
VHS
SVHS
miniDV-Cam
Tripod
Computers
Quantity
Desktop Computer
Laptop Computer
Computer Speakers
100MB Zip Drive
Wireless Mouse
Wireless Keyboard
Video Playback/Display
Quantity
TV/VCR/DVD Cart
1/2" VHS VCR
3/4" U-Matic
Laser Disk
Slide to Video Converter
Miscellaneous
Quantity
Cart
Laser Pointer
70" Projection Screen
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