CAMCORDER LOAN AGREEMENT
Use this form to track the lending of the District 3 digital camcorder.
The manufacturer name and model number for this camcorder is:
_____________________________________________________
The serial number for this camcorder is:___________________________
Today’s date:_________ Loan Period:___________________________
Person lending the camcorder:_________________________________
Person receiving camcorder:___________________________________
Purpose of loan:___________________________________________
Camcorder is to be transported via:
Person to person
USPS + Insurance:______________________________________
UPS/FedEx + Insurance:__________________________________
Camcorder is to be returned to__________________________________
by ___________________________________(Date to be returned)
Signature of person lending camcorder_____________________________
Signature of person receiving camcorder____________________________
Fax a copy of this agreement to the District 3 President:
John Coughlin - johnc@tillamook.k12.or.us
THS Fax Number: 503-842-1340
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