• Center for New MediaRENTAL APPLICATION

• PERSONAL INFORMATION
• First Name:*
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  Student Faculty Staff
• Phone Extension:
• Cell Number:*
• Email:*
• Department:*
  Art Communication Business Music
  
• Check if you signed the CNM equipment rental policy this semester?*
  Yes
• Equipment Needed:
• Audio Recorder
  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
  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
  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
  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
  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
  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
  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
  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
  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
  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
  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
  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
  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
  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
  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
  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
  Lighting - Kit # 1 Lighting - Kit # 2 Photo Studio Kit LED Light #1 LED Light #2 LED Light #3
• Lighting 2
  Lighting - Kit # 1 Lighting - Kit # 2 Photo Studio Kit LED Light #1 LED Light # 2 LED Light #3
• Head Phone
  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
  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
  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
  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
  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: aMAXIMUMofTWO KITScan be check out to any one person.
• Check Out/Return Date:(All equipmentMUSTbe returnedwithin 48 hours)
• Date Out:
   - Month  - Day Year

  Date
• Date In:
   - Month  - Day Year

  Date
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