CSS: Media Services: Equipment: Request
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Media Services Equipment Order Form

This form is for the use of University of Washington faculty and staff only. Student organizations, off-campus organizations and other users should contact us via phone at 206-543-9900 or email at classrm@u.washington.edu.

Equipment is reserved on a first-come, first-serve basis. Once your request has been confirmed, all equipment must be picked-up before 4:00 pm on the day requested and returned to the CSS main office (Room 035 Kane Hall) no later than 9:30 am on the return day as noted when you receive your order. Failure to pick up or return equipment on the days indicated will result in a cancellation fee and/or late fee charged to your budget.

Please bring a copy of the confirmation notice when picking up reserved equipment.

*Name:
*E-Mail:
*Phone:
*Department:
*Campus Mailing Address:
**Budget Number:
Task/Option/Project (if used):
*Type of event:
  Regularly scheduled academic course
  **Self-sustaining course or non-course event

* Required Field
** A budget number is required for non-course events