UBC FILM 233 REQUEST FORM

TODAY’S DATE : EQUIPMENT OFFICE : 604-822-6467

HOURS M - F 8:30 - 4:00
Name + Phone + Email Pick Up Date Return Date
M T W Th F M T W Th F

*
PICK UP AFTER 1PM RETURN BEFORE NOON
Equipment Received in good working order.
Signed :

CAMERAS LIGHTS SOUND ACCESSORIES

CANON T3i DSLR
+ EXTRAS
LOWEL OMNI KIT RODE mic
#1 #2 -THREE 500W 2 AUDIO CABLES
- 3 STANDS BOOM POLE
CANON 7D DSLR - 3 SAND BAGS iPHONE clamp
- 3 AC CABLES
#1 #2 #3 Sennheiser MKE600
2 AUDIO CABLES IKAN 30” SLIDER
LOWEL PRO KIT
MARSHALL 7” MONITOR BOOM POLE
3 250W LIGHTS
#1 #2 FLEXFILL
- 3 STANDS
-3 SAND BAGS Sennheisser
- 3 AC CABLES Wireless Mic AC CABLE

LOWEL DV KIT SANDBAG

500W OMNI, 250W PRO DSLR Sound Kit
500W TOTA AT875 mic DIFFUSION
TRIPODS 3 STANDS Juiced Link
3 SAND BAGS
3 AC CABLES Audio cable
MANFROTTO 055
BOLING LED KIT ZOOM H4N
MANFROTTO 755B 3 BI-COLOURED LED LIGHTS
3 STANDS BEECHTEK
MANFROTTO FIGRIG 3 SAND BAGS Adaptor
3 AC CABLES
MANFROTTO MONOPOD HEADPHONES
BOLING 1X1 LIGHT KIT
2 LED PANEL LIGHTS
OPTEX MONOPOD 2 STANDS AUDIO CABLE
2 SANDBAGS
XLR - MINI
CONNECTOR