Equipment Request Form

Name*

First Last

Email*

Are you a member of LMPC?

Day Phone

Cell Phone

Evening Phone

The following equipment is available for use. Please check all that apply to this request:

Please specify exactly your needs and equipment you will need.

What type/brand laptop will you be using? Specify connections available on your unit.

Number Round Tables:

Number Rectangular Tables:

Do you need linens?

Linens are available for events on the LMPC campus only.

Number of Chairs:

What specific kitchen equipment are you requesting?

Please list other equipment requested:

Equipment requested for:*

Time

:

Equipment Returned:

Time

:

Comments or notes:

Phone

This field is for validation purposes and should be left unchanged.