1. Media Production<br />Production equipment booking form<br />Date Required: 16/12/09Time Required: 4:00 PM<br />Tick one box only<br />ItemRecorder /Camcorder onlyFull kit (inc tripod / ext mic, h’phones etc)Other items – Please specify (Lights etc)Analogue Audio N/AN/AN/ADigital AudioN/AN/AN/AAnalogue Video/YesLights, dolly, filters, wide angleDigital VideoYes Lights, dolly, filters, wide angle<br />Date to be returned by: 17/12/09Time to be returned by: 9:00 AM<br />Name: Amina Diwa Saadat Tutor Group: W279<br />Tel. No: 02088640105<br />I understand that in undertaking this booking, I am fully responsible for the item(s) I have borrowed, and that in the event of any damage, theft or other misuse, I will contact the Media Department, and if necessary the police, immediately. I may be liable to forfeit future bookings and claims for reimbursement should I fail to adhere to any of the above, including the late return of equipment. <br />Signature<br />-18859529845<br />(For Staff Use Only)<br />2020378107842<br />Confirmed out in good order: <br />236543553030<br />Confirmed returned in good order: <br />