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Request Forms
Forms may be filled out and then printed or downloaded, filled out, and faxed to Carmen at: (305) 355-9072
.


Other forms available:

Article Requests

Literature Searches

Download the .PDF version of this form below: (You must have Acrobat Reader to open this format.)

EQUIPMENT RENTAL/
RESERVATION FORM

 

 

 

RENTAL REQUEST FORM

The following equipment may be borrowed by medical center faculty and staff at the following two-day (48 hour) rates.  Faculty in the Department of Psychiatry have the privilege of borrowing any audiovisual equipment for free if it is returned within 24 hours.  Patrons who want equipment delivered to a medical campus location must call the Pomerance Library at 355-9071/9073, 24 hours in advance and pay an additional delivery/pick-up charge of $15 each way.  Equipment cannot be delivered to off-campus locations.  (See below for rental form.)
Equipment Two Day Rental Rate Daily Overdue Rate
35 mm Slide Projector $25 $15
Wireless Remote Control $20 $10
Screen $15 $10
Overhead Projector $25 $15
Laser Pointer $20 $10
TV/VCR $50 $20
Video Camera $100 $25
Videotaping Services $100/hr.
Carousel $5 $2

35 mm Slide Projector

Wireless Remote Control

Screen

TV/VCR

Video Camera

Videotaping Services

Overhead Projector Carousel Laser Pointer

Name
Department
Division
U.M. Acct. #
Phone
E-mail
Date

METHOD OF PAYMENT (All fees must be prepaid with one of the following):

INTERDEPARTMENTAL REQUISITION

CASH

CHECK
*PLEASE INCLUDE PHONE NUMBER AND CONFIRM RESERVATIONS 24 HOURS PRIOR TO PICKUP


PLEASE COMPLETE THIS FORM AND
FAX IT TO CARMEN RIVERA
AT (305) 355-9072;  
or send Interoffice to:
Carmen Rivera
Pomerance Library
Mental Health Hospital Center
Room #3202 , Locator Code D-747

 

 You can also send regular mail to the following address:

Carmen Rivera
1695 N.W. 9th Ave.
Room # 3202
Miami, FL 33136

Note:  This form is for U.M. Department of  Psychiatry Faculty & Staff only.


Download the .PDF version of this form:
(You must have Acrobat Reader to open this format.)

EQUIPMENT RENTAL/RESERVATION FORM


Go to: Psychiatry

UM/ School of Medicine


UM/ Main Campus

 
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Last updated: April 1, 2002
URL: http://www.miami.edu/mh-library/library_rental.html
Copyright 2001, University of Miami. All Rights Reserved.