Film/MAD Equipment Request Form

Film/MAD Equipment Request Form

Pickups and Returns in Fine Arts Building, Room 301, 5015 Holmes St, Kansas City, MO 64110
Please enter some information about yourself
Name*

First NameLast Name
Student ID #*
Enter your Student ID #
Phone Number*
Enter your phone number
E-mail*
student@mail.umkc.edu
For Which Course*
Select the course the equipment is for
Today's Date*

MonthDayYear
Date
Pick-Up Appointment - MAXIMUM TWO DAY RESERVATION (ONLY EXCEPTION IS FRIDAY TO MONDAY)*
Return Appointment: MAXIMUM TWO DAYS FROM PICKUP DATE (ONLY EXCEPTION IS FRIDAY TO MONDAY)*
Please select the equipment you wish to rent. Leave blank if none needed.
Camera
Choose the equipment that corresponds to your class.
Camera Lenses 1 *Intermediate & Adv. Only
Choose the equipment that corresponds to your class.
Camera Lenses 2 *Intermediate & Adv. Only
Choose the equipment that corresponds to your class.
Camera Lenses 3 *Intermediate & Adv. Only
Choose the equipment that corresponds to your class.
Camera Lenses 4 *Intermediate & Adv. Only
Choose the equipment that corresponds to your class.
Camera Support
Choose the equipment that corresponds to your class.
Camera Support
Choose the equipment that corresponds to your class.
Audio Recorder
Choose the equipment that corresponds to your class.
Microphones 1
Choose the equipment that corresponds to your class.
Microphones 2
Choose the equipment that corresponds to your class.
Microphones 3
Choose the equipment that corresponds to your class.
Lighting 1
Choose the equipment that corresponds to your class.
Lighting 2
Choose the equipment that corresponds to your class.
Lighting & Grip support
Choose the equipment that corresponds to your class.
Lighting & Grip support
Choose the equipment that corresponds to your class.
Misc. Accessories
Choose the equipment that corresponds to your class.
Additional Items Not Listed
Add any additional items you may need
Questions and/or Special Notes
Add any remarks or special notes you may have
Should be Empty: