IMA Equipment Checkout

Film and MediaIMA Equipment Checkout

IMA EQUIPMENT LOAN

Name Name First Last
Email

Your email must be a hunter college email
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
All Fields must be filled in
Phone Phone - ### - ### ####
Class
Date Requested Date Requested / MM / DD YYYY
Date of Return Date of Return / MM / DD YYYY
Instructor
Video Cameras
For Office Use

Camera ______________
s/n _________________________________|RT'D_________

Lens _________________
s/n _________________________________|RT'D__________________

Batteries _____________
s/n __________________________________|RT'D_________________

Charger ______________
s/n ___________________________________|RT'D________________

Case _________________
s/n ___________________________________|RT'D________________
Camera SupportCheckboxes

Camera SupportCheckboxes Cartoni Action Pro s/n _________________________________|RT'D_________ Cartoni Focus 12 s/n _________________________________|RT'D_________ Cartoni Baby Legs s/n _________________________________|RT'D_________ Cartoni Hi-Hat s/n _________________________________|RT'D_________ Mono Pod s/n _________________________________|RT'D_________ Glidecam Stabilizer s/n _________________________________|RT'D_________ Shape Offset Rigs/n _________________________________|RT'D_________
Sound Equipment

Sound Equipment Sound Devices MixPre6 s/n _________________________________|RT'D_________ Sennheiser K6 Mic A-set s/n _________________________________|RT'D_________ Tram Lavaliere Microphone s/n _________________________________|RT'D_________ Sennheiser AVX Wireless Kit s/n _________________________________|RT'D_________ Shure SM-57 s/n _________________________________|RT'D_________ Rycote Softie s/n _________________________________|RT'D_________ Boom Pole s/n _________________________________|RT'D_________ Microphone cables s/n _________________________________|RT'D_________ XLR-XLR Pigtail s/n _________________________________|RT'D_________
For Office Use

Battery_______________s/n_____________________________________________

Battery Sled _____________ s/n __________________________________________

Charger ______________ s/n __________________________________________

Case _________________ s/n __________________________________________

This is the description of your section break.
Lighting Equipment

Lighting Equipment LED Lighting Kit s/n _________________________________|RT'D_________ Lowell GO-PRO Kit s/n _________________________________|RT'D_________ Lowell DP Kit s/n _________________________________|RT'D_________ Flag Kit s/n _________________________________|RT'D_________ C-stands s/n _________________________________|RT'D_________ gobo arms & heads s/n _________________________________|RT'D_________ alligator grips s/n _________________________________|RT'D_________ mafer clamps |s/n _________________________________|RT'D_________ extension cords s/n _________________________________|RT'D_________ sandbags s/n _________________________________|RT'D_________ extra stands s/n _________________________________|RT'D_________ pigeon plates s/n _________________________________|RT'D_________ C-Clamps s/n _________________________________|RT'D_________ Quad box s/n _________________________________|RT'D_________ Other Other

Lowell DP Kit s/n _________________________________|RT'D_________
Gels

Gels CTO (Orange) | RT'D______ CTB (Blue) | RT'D______ Diffusion | RT'D______ Other Other
If you require more than one of the same item please specify quantity here

example is 4 C-Stands, 4 sand bags

IMA Equipment Checkout

Film and MediaIMA Equipment Checkout

For Office Use

Camera
s/n _______________|RT'D_

Lens _
s/n _________|RT'D

Batteries _
s/n ____________________|RT'D_

Charger
s/n _____________________|RT'D

Case _
s/n ___________|RT'D

For Office Use

Battery_s/n_________________________

Battery Sled _ s/n

Charger s/n

Case _ s/n __________________________________

IMA Equipment Checkout

Film and MediaIMA Equipment Checkout

For Office Use Battery_______________s/n_____________________________________________ Battery Sled _____________ s/n __________________________________________ Charger ______________ s/n __________________________________________ Case _________________ s/n __________________________________________

For Office Use

Battery_s/n_________________________

Battery Sled _ s/n

Charger s/n

Case _ s/n __________________________________