Eastern Michigan University
Eastern Michigan University
Eastern Michigan University
Friday August 28, 2015

Library Hours: 8:00am to 5:00pm

Eastern Michigan University Library

Instructional Equipment Request Form

Use this form to request equipment for use in the Bruce T. Halle Library building ONLY.

Event Information
Event Date :
(mm/dd/yyyy)
Click Here to Pick up the date  
Event Time Event Location

Special Instructions :

 
Pickup from Room G17, Halle Library
Pickup Date:
(mm/dd/yyyy)
Click Here to Pick up the date
Pickup Time:
Return to Room G17, Halle Library
Return Date:
(mm/dd/yyyy)
Click Here to select return date
Return Time:

Equipment
Equipment Service Rental Qty.
1.  
2.  
3.  
4.  
5.  

Faculty/Student Information
Faculty Last Name:
Faculty First Name:
Dept / School:
Phone #:
Email address: @emich.edu
Course or Event:
No of attendees:
Student Name:    E-Num:

Terms & Responsibilities

All the Yellow fields are required. Please complete the captcha, for security purposes, and to discourage automated web bots.

By clicking the submit button below, I assume all responsibilities for the care, security and return of any equipment/materials borrowed by me personally or by any person desinated by me: