2 SUMMER ST.
TEL: 508.651.0022 n
FAX: 508.651.1285 n EMAIL:
INFO@NATICKPEGASUS.ORG
NAME:_____________________________TEL:__________________DATE:______________
PROJECT
/ SHOW:_____________________________________________________________
DESTINATON:________________________________________________________________
PICK
UP TIME / DATE:___________________RETURN TIME
/DATE:__________________
PLEASE HAND THIS REQUEST FORM INTO THE STATION MANAGER AT LEAST 24 HOURS PRIOR TO USE OF THE EQUIPMENT. NOT ADHERING TO PICK UP TIME AND DROP OFF TIME MAY LEAD TO FORFEITURE OF EQUIPMENT USE. ALL EQUIPMENT IS RESERVED ON A FIRST COME FIRST SERVE BASIES. SOME EQUIPMENT ON THIS LIST IS FOR STAFF USE ONLY.
CAMERAS
ÿ
SONY DSR-370/ 390 DVCAM # ÿ ENG #1, ÿ ENG #2, ÿ ENG #7
ÿ VEWFINDER #___ ÿ POWER ADAPTOR #___
ÿ SONY DSR-250 DVCAM # ÿ ENG #3, ÿ ENG # 4
ÿ CANON XL-1 MIN DV # ÿ ENG # 5, ÿ ENG #6
ÿ
POWER ADAPTOR #___ VARIZOOM CAMERA CONTROL#___
ÿ CANON GL-1 MIN DV #___
ÿ POWER ADAPTOR #___
ÿ BATTERIES# ÿ AA, ÿ BB, ÿ CC, ÿ DD, ÿ EE, ÿ FF, ÿ GG, ÿ A, ÿ B, ÿ C, ÿ D, ÿ E, ÿ F, ÿ G,
(SONY) (CANON)
|
AUDIO ÿ HAND HELD MIC #___. ÿ SHOTGUN MIC. #___ ÿ LAV. MIC. #___ ÿ HEADSET/MIC (ANNOUNCERS HEADSETS) #___ ÿ HEADPHONE #___ ÿ DIRECT BOX#___ ÿ HUM ELIMINATOR#___ ÿ XLR AUDIO CABLE Yellow 100’ #___ ÿ XLR AUDIO CABLE RED 50’ #___ ÿ XLR AUDIO CABLE BLUE 25’ #___ ÿ XLR AUDIO CABLE GREEN 10’ #___ ÿ XLR TO TS 1/8” #___ ÿ XLR TO TRS 1/4” #___ ÿ XLR TO RCA #___ |
AUDIO CONTINUEDÿ RCA TO RCA#___ ÿ XLR-Y #___ ÿ XLR F TO F BARREL #___ ÿ XLR M TO M BARREL #___ ÿ MACKIE 1402-VLZ#___ ÿ SHURE MIXER (4 CHANNEL) #___
ÿ FLOOR MIC. STAND #___ ÿ DESK MIC. STAND #___ ÿ BOOM MIC. STAND #___ ÿ AZDEN WIRELESS KIT #1 (GREEN) ÿ AZDEN WIRELESS KIT #2 (RED) ÿAZDEN WIRELESS KIT #3 (WHITE) ÿ SHURE WIRELESS KIT #___ BODY PACK, RECIVER |
VIDEO MONITORS
ÿ PANASONIC BTS 700 #___
ÿ
JVC TM 22U #___
ÿ JVC TM9105V#___
ÿ VERIZOOM LCD KIT#___ ÿ BATTERIES #___ ÿ POWER ADAPTOR #___ ÿ MOUNTING SHOE#___
LIGHT KITS
ÿ BHUL
ÿ
ÿ CAMERA LIGHT #1 (XL-1, GL-1,)
ÿ CAMERA LIGHT #2 (SONY 370)
ÿ SANDBAG #___
TRIPODS
ÿ HEVY DUTY (SONY 370, SONY 325) #___ÿ REAR CONTROL ARMS#___
ÿ LIGHT DUTY (XL-1, GL-1, S-VHS) #___
MISC.
ÿ BNC VIDEO CABLE #___
ÿ BNC TO RF ADAPTOR #___
ÿ BNC TO RCA ADAPTOR #___
ÿ BNC TO BNC ADAPTOR #___
ÿ POWER STRIP #___
ÿ EXTENSION CORDS #___
ÿ DUCK TAPE
ÿ VIDEO TAPE DVCAM #___
ÿ VIDEO TAPE MIN DV #___
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
OFFICE USE ONLY
AT TIME OF CHECK IN AND CHECK OUT
CHECKED OUT BY_________________________
DATE_____________ Time__________
SIGNATURE OF
BORROWER__________________________________ DATE__________
CHECKED IN
BY_________________________ DATE_____________ Time__________