Center for New Media
RENTAL APPLICATION
PERSONAL INFORMATION
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Last Name:
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Student
Faculty
Staff
Phone Extension:
Cell Number:
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Email:
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Department:
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Art
Communication
Business
Music
Other
Check if you signed the CNM equipment rental policy this semester?
*
Yes
Equipment Needed:
Audio Recorder
Please Select
Zoom H1 - Kit # 1
Zoom H1 - Kit # 2
Zoom H1 - Kit # 3
Zoom H1 - Kit # 4
Zoom H4N - Kit # 1
Zoom H4N- Kit # 2
Tascam DR60D
Tascam DR-05 - Kit #1R
Tascam DR-05 - Kit #2R
Tascam DR-05 - Kit #3R
Tascam DR-05 - Kit #4R
Tascam DR-07 - Kit #1
Tascam DR-07 - Kit #2
DSLR Camera
Please Select
Canon 6D - Kit # 1
Canon 6D - Kit # 2
Canon 6D - Kit # 3
Canon SL1 - Kit # 1
Canon SL1 - Kit # 2
Canon SL1 - Kit # 3
Canon SL1 - Kit # 4
Canon SL1 - Kit # 5
Canon SL1 - Kit # 6
Canon SL1 - Kit # 7
Canon SL1 - Kit # 8
Canon SL1 - Kit # 9
Canon SL1 - Kit # 10
Canon SL1 - Kit #11
Canon SL1 - Kit #12
Canon SL1 - Kit #13
Canon SL1 - Kit #14
Canon SL1 - Kit #15
Canon SL1 - Kit #1R
Canon SL1 - Kit #2R
Canon SL1 - Kit #3R
Nikon D5200 - Kit #1
Nikon D5200 - Kit #2
Nikon D5200 - Kit #3
Other
DSLR Camera
Please Select
Canon 6D - Kit # 1
Canon 6D - Kit # 2
Canon 6D - Kit # 3
Canon SL1 - Kit # 1
Canon SL1 - Kit # 2
Canon SL1 - Kit # 3
Canon SL1 - Kit # 4
Canon SL1 - Kit # 5
Canon SL1 - Kit # 6
Canon SL1 - Kit # 7
Canon SL1 - Kit # 8
Canon SL1 - Kit # 9
Canon SL1 - Kit # 10
Canon SL1 - Kit #11
Canon SL1 - Kit #12
Canon SL1 - Kit #13
Canon SL1 - Kit #14
Canon SL1 - Kit #15
Canon SL1 - Kit #1R
Canon SL1 - Kit #2R
Canon SL1 - Kit #3R
Nikon D5200 - Kit #1
Nikon D5200 - Kit #2
Nikon D5200 - Kit #3
Other
DSLR Camera
Please Select
Canon 6D - Kit # 1
Canon 6D - Kit # 2
Canon 6D - Kit # 3
Canon SL1 - Kit # 1
Canon SL1 - Kit # 2
Canon SL1 - Kit # 3
Canon SL1 - Kit # 4
Canon SL1 - Kit # 5
Canon SL1 - Kit # 6
Canon SL1 - Kit # 7
Canon SL1 - Kit # 8
Canon SL1 - Kit # 9
Canon SL1 - Kit # 10
Canon SL1 - Kit #11
Canon SL1 - Kit #12
Canon SL1 - Kit #13
Canon SL1 - Kit #14
Canon SL1 - Kit #15
Canon SL1 - Kit #1R
Canon SL1 - Kit #2R
Canon SL1 - Kit #3R
Nikon D5200 - Kit #1
Nikon D5200 - Kit #2
Nikon D5200 - Kit #3
Other
Additional Lens
Please Select
40mm - 1
40mm - 2
75-300 mm - 1
75-300 mm - 2
75-300 mm - 3
75-300 mm - 4
Macro adapter
Wide Angle .43 - 1
Wide Angle .43 - 2
Wide Angle .43 - 3
Telephoto adapter - 1
Telephoto adapter - 2
Telephoto adapter - 3
Nikon - 35mm
Nikon - 55-200mm
Video Recorder 1
Please Select
Sony NXCAM - Kit # 1 (includes Accessory Kit #1)
Sony NXCAM - Kit # 2 (includes Accessory Kit #2)
Sony NXCAM - Kit # 3 (includes Accessory Kit #3)
Other (enter below):
Video Recorder 2
Please Select
Sony NXCAM - Kit # 1 (includes Accessory Kit #1)
Sony NXCAM - Kit # 2 (includes Accessory Kit #2)
Sony NXCAM - Kit # 3 (includes Accessory Kit #3)
Other
Video Recorder 3
Please Select
Sony NXCAM - Kit # 1 (includes Accessory Kit #1)
Sony NXCAM - Kit # 2 (includes Accessory Kit #2)
Sony NXCAM - Kit # 3 (includes Accessory Kit #3)
Other
Tripod 1
Please Select
Magnus Tripod - Kit # 1
Magnus Tripod - Kit # 2
Magnus Tripod - Kit # 3
Manfrotto Tripod - Kit # 1
Manfrotto Tripod - Kit # 2
Manfrotto Tripod - Kit # 3
Manfrotto Tripod - Kit # 4
Manfrotto Tripod - Kit # 5
Manfrotto Tripod - Kit # 6
Manfrotto Tripod - Kit # 7
Manfrotto Tripod - Kit # 8
Manfrotto Tripod - Kit # 9
Manfrotto Tripod - Kit # 10
Davis & Sanford - 1
Davis & Sanford - 2
Davis & Sanford - 3
Davis & Sanford - 4
Davis & Sanford - 5
6000PG #1
6000PG #2
Vivitar VPT-1200
Other
Tripods 2
Please Select
Magnus Tripod - Kit # 1
Magnus Tripod - Kit # 2
Magnus Tripod - Kit # 3
Manfrotto Tripod - Kit # 1
Manfrotto Tripod - Kit # 2
Manfrotto Tripod - Kit # 3
Manfrotto Tripod - Kit # 4
Manfrotto Tripod - Kit # 5
Manfrotto Tripod - Kit # 6
Manfrotto Tripod - Kit # 7
Manfrotto Tripod - Kit # 8
Manfrotto Tripod - Kit # 9
Manfrotto Tripod - Kit # 10
Davis & Sanford - 1
Davis & Sanford - 2
Davis & Sanford - 3
Davis & Sanford - 4
Davis & Sanford - 5
6000PG #1
6000PG #2
Other
Tripods 3
Please Select
Magnus Tripod - Kit # 1
Magnus Tripod - Kit # 2
Magnus Tripod - Kit # 3
Manfrotto Tripod - Kit # 1
Manfrotto Tripod - Kit # 2
Manfrotto Tripod - Kit # 3
Manfrotto Tripod - Kit # 4
Manfrotto Tripod - Kit # 5
Manfrotto Tripod - Kit # 6
Manfrotto Tripod - Kit # 7
Manfrotto Tripod - Kit # 8
Manfrotto Tripod - Kit # 9
Manfrotto Tripod - Kit # 10
Davis & Sanford - 1
Davis & Sanford - 2
Davis & Sanford - 3
Davis & Sanford - 4
Davis & Sanford - 5
6000PG #1
6000PG #2
Other
Microphone 1
Please Select
NTG2 - Kit # 1
NTG2 - Kit # 2
NTG2 - Kit # 3
Pyle Wireless mic #1
Pyle Wireless mic #2
Pyle Wireless mic #3
Pyle Wireless mic #4
Red Rode
Black Rode
Pro Rode - 1
Pro Rode - 2
Pro Rode - 3
Pro Rode - 4
Other
Microphone 2
Please Select
NTG2 - Kit # 1
NTG2 - Kit # 2
NTG2 - Kit # 3
Pyle Wireless mic #1
Pyle Wireless mic #2
Pyle Wireless mic #3
Pyle Wireless mic #4
Pro Rode - 1
Pro Rode - 2
Pro Rode - 3
Pro Rode - 4
Microphone 3
Please Select
NTG2 - Kit # 1
NTG2 - Kit # 2
NTG2 - Kit # 3
Pyle Wireless mic #1
Pyle Wireless mic #2
Pyle Wireless mic #3
Pyle Wireless mic #4
Pro Rode - 1
Pro Rode - 2
Pro Rode - 3
Pro Rode - 4
Other
Cabling 1
Please Select
Low-to-High Impedance-Matching Transformer - # 1
Low-to-High Impedance-Matching Transformer - # 2
Low-to-High Impedance-Matching Transformer - # 3
XLR Cable 1.5 ft (Right Angle) - # 1
XLR Cable 1.5 ft (Right Angle) - # 2
XLR Cable 1.5 ft (Right Angle) - # 3
XLR Cable 20 ft (straight) - # 1
XLR Cable 20 ft (straight) - # 2
XLR Cable 20 ft (straight) - # 3
Other
Cabling 2
Please Select
Low-to-High Impedance-Matching Transformer - # 1
Low-to-High Impedance-Matching Transformer - # 2
Low-to-High Impedance-Matching Transformer - # 3
XLR Cable 1.5 ft (Right Angle) - # 1
XLR Cable 1.5 ft (Right Angle) - # 2
XLR Cable 1.5 ft (Right Angle) - # 3
XLR Cable 20 ft (straight) - # 1
XLR Cable 20 ft (straight) - # 2
XLR Cable 20 ft (straight) - # 3
Other
Lighting 1
Please Select
Lighting - Kit # 1
Lighting - Kit # 2
Photo Studio Kit
LED Light #1
LED Light #2
LED Light #3
Lighting 2
Please Select
Lighting - Kit # 1
Lighting - Kit # 2
Photo Studio Kit
LED Light #1
LED Light # 2
LED Light #3
Head Phone
Please Select
Power Bass - HD 202 # 1
Power Bass - HD 202 # 2
Power Bass - HD 202 # 3
Powerful Sound - HD 201 # 1R
Powerful Sound - HD 201 # 2R
Powerful Sound - HD 201 # 3R
Powerful Sound - HD 201 # 4R
Powerful Sound - HD 201 # 5
Powerful Sound - HD 201 # 6
Powerful Sound - HD 201 # 7
Powerful Sound - HD 201 # 8
Powerful Sound - HD 201 # 9
Powerful Sound - HD 201 # 10
Powerful Sound - HD 201 # 11
Powerful Sound - HD 201 # 12
Other
Accessories 1
Please Select
Klassic Pole K-Tek - Kit # 1
Klassic Pole K-Tek - Kit # 2
Klassic Pole K-Tek - Kit # 3
Microphone Hand Grip - # 1
Microphone Hand Grip - # 2
Microphone Hand Grip - # 3
Universal Shock Mount - # 1
Universal Shock Mount - # 2
Universal Shock Mount - # 3
DSLR Rig #1
DSLR Rig #2
RocknRoller Lrg
RocknRoller Sm
RocknRoller tray
FOTGA Follow Focus
Green Screen Lrg/stand
Green Screen Sm
Other
Accessories 2
Please Select
Klassic Pole K-Tek - Kit # 1
Klassic Pole K-Tek - Kit # 2
Klassic Pole K-Tek - Kit # 3
Microphone Hand Grip - # 1
Microphone Hand Grip - # 2
Microphone Hand Grip - # 3
Universal Shock Mount - # 1
Universal Shock Mount - # 2
Universal Shock Mount - # 3
DSLR Rig #1
DSLR Rig #2
RocknRoller Lrg
RocknRoller Sm
RocknRoller tray
FOTGA Follow Focus
Green Screen Lrg/stand
Green Screen Sm
Other
Accessories 3
Please Select
Klassic Pole K-Tek - Kit # 1
Klassic Pole K-Tek - Kit # 2
Klassic Pole K-Tek - Kit # 3
Microphone Hand Grip - # 1
Microphone Hand Grip - # 2
Microphone Hand Grip - # 3
Universal Shock Mount - # 1
Universal Shock Mount - # 2
Universal Shock Mount - # 3
Sony NXCAM Small Kit - Kit # 1
Sony NXCAM Small Kit - Kit # 2
Sony NXCAM Small Kit - Kit # 3
DSLR Rig #1
DSLR Rig #2
RocknRoller Lrg
RocknRoller Sm
RocknRoller tray
FOTGA Follow Focus
Green Screen Lrg/stand
Green Screen Sm
Other
M-Audio SP-2
# 1
# 5
# 9
# 2
# 6
# 10
# 3
# 7
# 11
# 4
# 8
#12
Wacom Tablet
Please Select
Wacom Tablet - 1
Wacom Tablet - 2
Wacom Tablet - 3
Wacom Tablet - 4
Wacom Tablet - 5
Wacom Tablet - 6
Wacom Tablet - 7
Wacom Tablet - 8
Wacom Tablet - 9
Wacom Tablet - 10
Wacom Tablet - 11
Wacom Tablet - 12
Wacom Tablet - 13
Wacom Tablet - 14
Wacom Tablet - 15
NOTE: a
MAXIMUM
of
TWO KITS
can be check out to any one person.
Check Out/Return Date:
(All equipment
MUST
be returned
within 48 hours
)
Date Out:
-
Month
-
Day
Year
Date
Date In:
-
Month
-
Day
Year
Date
Comments:
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