MEDIA SERVICES by dEGCSJ

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									                          LAMAR UNIVERSITY-MEDIA SERVICES
             MEDIA EQUIPMENT MUST BE REQUESTED
                     48 HOURS IN ADVANCE

ASSIGNED RESPONSIBILITY
I understand that by signing this request for equipment/software, that I assume the responsibility for seeing that
the regulations governing the usage of equipment/software from the Media Services Department are properly
enforced. These regulations are:

1. Equipment will be used ONLY for Lamar University-Beaumont campus.
2. The use of all equipment/software will be related to some academic purpose of Lamar University-Beaumont.

I further understand that I am responsible for restitution for any damage or loss to any equipment/software.




FACULTY/STAFF NAME: ——————————————————DATE: —————————-

DEPARTMENT:_____________________________________________PHONE:__________________

SIGNATURE:________________________________________________________________________


MEDIA REQUEST:
REQUESTEE:________________________________________________________________________


ORGANIZATION OR CLASS:___________________________________________________________

USE DATE:____________________________RETURN DATE:________________________________

PICK-UP DATE:____________________________________

DESCRIBE EVENT:__________________________________________________________________

EQUIPMENT/MATERIALS NEEDED:___________________________________________________




THIS FORM MUST BE COMPLETED AND RETURNED TO THE
MEDIA SERVICES DEPARTMENT AT LEAST 48 HOURS BEFORE EQUIPMENT OR
MATERIALS ARE PICKED UP.

								
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