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Short Term Rental Equipment

*Required

For Long Term Rentals, click on the following:
Long Term Cellular Phones (more than 6 months)
Long Term Pagers (more than 2 months)

Department and Billing Information

Requestor name: *
Phone Number: *
Department: *
Department Number  
FRS Code: *
Department Head's Name:  
Has the department head authorized this request? * Approval is required.  By indicating "yes", your department agrees to pay for all charges that pertain to this request.
Pick-up Date: *
Return Date: *

Equipment to be Rented

Quantity
PolyCom Phone
 NOTE: The PolyCom will only work with an Analog line
PolyCom Phone (with microphones)
Konference Phone adapter
This adapter connects the PolyCom to an ISDN set

Comments:


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Updated: 9/28/2009