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Equipment Request

Please fill out the form below completely and thoroughly. All fields are required unless otherwise noted. Hard copy versions of this form are available in the Center for the Advancement of Teaching, Library 534.

Submit the on-line request form at least three working days in advance. Submit a hard copy (instead of the on-line form) if the request is being submitted less than three working days in advance.

Name:
 
 
E-mail:
Extension:
Item requested:
additional item requested (optional):
Other items (optional):
Checkout date:
Return date:
Please indicate your intended use of the equipment. This will help us prioritize scheduling.
Antispam:
To prevent spam, you must type the word CAT in this box.

Thank you for your request. If you have technical difficulties submitting this form, or if your browser does not display a confirmation page after you click "Submit request," please contact the Center for the Advancement of Teaching at cat@xula.edu or ext. 7512.

Last modified: 06/24/2016 01:47 pm
URL: cat.xula.edu/request/equipment
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Maintained by Bart Everson <send message>
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